Mary Colburn, APRN - Medicare Nurse Practitioner in Wallingford, CT

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Mary Colburn, APRN is a medicare enrolled "Nurse Practitioner - Family" in Wallingford, Connecticut. She graduated from nursing school in 2018 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Tptc-nh Llc and her current practice location is 850 N Main Street Ext, Wallingford, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 626-4203.

Mary Colburn is licensed to practice in Connecticut (license number 007605) 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 1679066948.

Contact Information

Mary Colburn, APRN
850 N Main Street Ext,
Wallingford, CT 06492-2400
(203) 626-4203
(203) 626-1624

Map and Direction




Provider's Profile

Full NameMary Colburn
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location850 N Main Street Ext, Wallingford, Connecticut
Accepts Medicare AssignmentsYes. 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 Colburn graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1679066948
  • Provider Enumeration Date: 06/12/2018
  • Last Update Date: 11/14/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 5597018606
  • Enrollment ID: I20181018002720

Medical Identifiers

Medical identifiers for Mary Colburn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679066948NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 007605 (Connecticut)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Tptc-nh Llc89214795023

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 Colburn allows following entities to bill medicare on her behalf.
Entity NameWheeler Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396750840
PECOS PAC ID: 0345147153
Enrollment ID: O20031218000218
Entity NameLivwell Pain Management Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942866793
PECOS PAC ID: 3476883265
Enrollment ID: O20190920001641
Entity NameTptc-nh Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265144935
PECOS PAC ID: 8921479502
Enrollment ID: O20230118001007

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 Colburn 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 AddressPractice Location Address
Mary Colburn, APRN
850 N Main Street Ext,
Wallingford, CT 06492-2400

Ph: (203) 626-4203		Mary Colburn, APRN
850 N Main Street Ext,
Wallingford, CT 06492-2400

Ph: (203) 626-4203

Reviews and Comments


Nurse Practitioner Nurses in Wallingford, CT

Kaitlyn Elizabeth Flynn, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 863 N Main Street Ext Ste 101, Wallingford, CT 06492
Phone: 203-269-3791    
Melissa Kay Tuohy, APRN, AGNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 67 Masonic Ave Ste 2400, Wallingford, CT 06492
Phone: 203-793-3420    Fax: 203-404-5790
Carrie Elizabeth Grassi, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 35 Thorpe Ave Ste 104, Wallingford, CT 06492
Phone: 203-779-5799    
Katey Elizabeth Green, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 50 Gaylord Farm Rd, Wallingford, CT 06492
Phone: 203-284-2800    
Deborah B Fahs, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 850 N Main Street Ext., Bldg 2 Suite C2, Wallingford, CT 06492
Phone: 203-269-9778    Fax: 203-949-1544
Joan Mary Landino, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 185 Center St, Wallingford, CT 06492
Phone: 203-676-3606    Fax: 203-265-1037
Dr. Erin Elizabeth Sherman,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 74 Cheshire Road, Wallingford, CT 06492
Phone: 203-931-2370    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.