Mary Ames, NP is a medicare enrolled "Nurse Practitioner - Family" in North Fairfield, Ohio. Her current practice location is
115 N Main St, North Fairfield, Ohio. You can reach out to her office (for appointments etc.) via phone at
(419) 744-2249.
Mary Ames is licensed to practice in Ohio (license number NP08465) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1073590964.
Provider's Profile
| Full Name | Mary Ames |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 115 N Main St, North Fairfield, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1073590964
- Provider Enumeration Date: 12/30/2005
- Last Update Date: 06/22/2016
Medicare PECOS Information:
- PECOS PAC ID: 1153348511
- Enrollment ID: I20051026000126
Medical Identifiers
Medical identifiers for Mary Ames such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073590964 | NPI | - | NPPES |
| 2603098 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | NP08465 (Ohio) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mary Ames allows following entities to bill medicare on her behalf.
| Entity Name | Fisher-titus Medical Care Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467636399
PECOS PAC ID: 6507940566
Enrollment ID: O20080228000695 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mary Ames is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mary Ames, NP
115 N Main St,
North Fairfield, OH 44855-9602
Ph: (419) 744-2249 | Mary Ames, NP
115 N Main St,
North Fairfield, OH 44855-9602
Ph: (419) 744-2249 |
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