Mary Ann Wilmoth, PMHNP - BC, FNP-BC is a medicare enrolled "Psychiatry & Neurology - Psychiatry" in Thurmond, North Carolina. She graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Wake Forest University Health Sciences and her current practice location is
499 S Center Church Rd, Thurmond, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(336) 528-5785.
Mary Ann Wilmoth is licensed to practice in North Carolina (license number 5014707) 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 1851960173.
Provider's Profile
| Full Name | Mary Ann Wilmoth |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 499 S Center Church Rd, Thurmond, North Carolina |
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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. |
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Medical Education and Training:
- Mary Ann Wilmoth graduated from nursing school in 2021
NPI Data:
- NPI Number: 1851960173
- Provider Enumeration Date: 06/21/2021
- Last Update Date: 04/02/2025
Medicare PECOS Information:
- PECOS PAC ID: 6305234162
- Enrollment ID: I20211027001916
Medical Identifiers
Medical identifiers for Mary Ann Wilmoth such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1851960173 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 5014707 (North Carolina) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 5014707 (North Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Wake Forest University Health Sciences | 4486564952 | 2274 |
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 Wilmoth allows following entities to bill medicare on her behalf.
| Entity Name | Wake Forest University Health Sciences |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003803032
PECOS PAC ID: 4486564952
Enrollment ID: O20031105000436 |
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| Entity Name | Basin Creek Behavioral Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467275099
PECOS PAC ID: 6204350598
Enrollment ID: O20250408002379 |
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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 Wilmoth 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 |
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Mary Ann Wilmoth, PMHNP - BC, FNP-BC
499 S Center Church Rd,
Thurmond, NC 28683-9683
Ph: (336) 528-5785 | Mary Ann Wilmoth, PMHNP - BC, FNP-BC
499 S Center Church Rd,
Thurmond, NC 28683-9683
Ph: (336) 528-5785 |
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