Mary K Higgs, CNM - Medicare Nurse Practitioner in Urbana, IL

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Mary K Higgs, CNM is a medicare enrolled "Nurse Practitioner - Obstetrics & Gynecology" in Urbana, Illinois. Her current practice location is 304 W Delaware Ave, Urbana, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 898-0249.

Mary K Higgs is licensed to practice in Illinois (license number 277000648) 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 1619053188.

Contact Information

Mary K Higgs, CNM
304 W Delaware Ave,
Urbana, IL 61801
(217) 898-0249
Not Available

Map and Direction




Provider's Profile

Full NameMary K Higgs
GenderFemale
SpecialityNurse Practitioner - Obstetrics & Gynecology
Location304 W Delaware Ave, Urbana, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1619053188
  • Provider Enumeration Date: 10/27/2006
  • Last Update Date: 10/05/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5092734657
  • Enrollment ID: I20181016002157

Medical Identifiers

Medical identifiers for Mary K Higgs such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619053188NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367A00000XAdvanced Practice Midwife 209002872 (Indiana)Secondary
367A00000XAdvanced Practice Midwife 209002872 (Illinois)Secondary
367A00000XAdvanced Practice Midwife 09000385A (Indiana)Secondary
363LX0001XNurse Practitioner - Obstetrics & Gynecology 277000648 (Illinois)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 K Higgs allows following entities to bill medicare on her behalf.
Entity NameMercy Hospitals East Communities
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851431738
PECOS PAC ID: 1658276811
Enrollment ID: O20031218000107
Entity NameMercy Clinic East Communities
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851335228
PECOS PAC ID: 7214827922
Enrollment ID: O20070521000006
Entity NameMercy Womens Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629327788
PECOS PAC ID: 2466699814
Enrollment ID: O20130502000534

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 K Higgs 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 K Higgs, CNM
304 W Delaware Ave,
Urbana, IL 61801-4907

Ph: () -		Mary K Higgs, CNM
304 W Delaware Ave,
Urbana, IL 61801

Ph: (217) 898-0249

Reviews and Comments


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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.