Mary Fillmore, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Leroy, Michigan. She went to Wayne State University School Of Medicine and graduated in 2024 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Chronic Care Management Llc and her current practice location is
13949 Robinhood Ln, Leroy, Michigan. You can reach out to her office (for appointments etc.) via phone at
(906) 322-0091.
Mary Fillmore is licensed to practice in Michigan (license number 4704284792) 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 1811715626.
Provider's Profile
| Full Name | Mary Fillmore |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 1 Years |
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| Location | 13949 Robinhood Ln, Leroy, Michigan |
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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 Fillmore attended and graduated from Wayne State University School Of Medicine in 2024
NPI Data:
- NPI Number: 1811715626
- Provider Enumeration Date: 09/30/2024
- Last Update Date: 10/01/2024
Medicare PECOS Information:
- PECOS PAC ID: 6608396106
- Enrollment ID: I20250227002265
Medical Identifiers
Medical identifiers for Mary Fillmore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1811715626 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 4704284792 (Michigan) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Chronic Care Management Llc | 7214150770 | 13 |
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 Fillmore allows following entities to bill medicare on her behalf.
| Entity Name | Chronic Care Management Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1730506726
PECOS PAC ID: 7214150770
Enrollment ID: O20140602001145 |
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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 Fillmore 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 Fillmore, PMHNP
13949 Robinhood Ln,
Leroy, MI 49655-9386
Ph: (906) 322-0091 | Mary Fillmore, PMHNP
13949 Robinhood Ln,
Leroy, MI 49655-9386
Ph: (906) 322-0091 |
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