Mary Ann Wietbrock, RN MSN CNS is a medicare enrolled "Clinical Nurse Specialist - Community Health/public Health" in New Palestine, Indiana. She graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Certified Clinical Nurse Specialist (cns). Her current practice location is
4108 W 400 S, New Palestine, Indiana. You can reach out to her office (for appointments etc.) via phone at
(317) 410-9140.
Mary Ann Wietbrock is licensed to practice in Indiana (license number 28088637A) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1336551175.
Provider's Profile
Full Name | Mary Ann Wietbrock |
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Gender | Female |
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Speciality | Certified Clinical Nurse Specialist (cns) |
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Experience | 16 Years |
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Location | 4108 W 400 S, New Palestine, Indiana |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mary Ann Wietbrock graduated from nursing school in 2008
NPI Data:
- NPI Number: 1336551175
- Provider Enumeration Date: 05/28/2014
- Last Update Date: 05/28/2014
Medicare PECOS Information:
- PECOS PAC ID: 7517243165
- Enrollment ID: I20170418001404
Medical Identifiers
Medical identifiers for Mary Ann Wietbrock such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336551175 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
364SC1501X | Clinical Nurse Specialist - Community Health/public Health | 28088637A (Indiana) | 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 Ann Wietbrock allows following entities to bill medicare on her behalf.
Entity Name | Cardinal Elements Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1659780708 PECOS PAC ID: 6608152251 Enrollment ID: O20170413001024 |
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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 Ann Wietbrock 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 Ann Wietbrock, RN MSN CNS 4108 W 400 S, New Palestine, IN 46163-9612 Ph: (317) 410-9140 | Mary Ann Wietbrock, RN MSN CNS 4108 W 400 S, New Palestine, IN 46163-9612 Ph: (317) 410-9140 |
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