Mary Kathryn Michaelis, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Eastville, Virginia. She graduated from nursing school in 2023 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Eastern Shore Rural Health System Incorporated and her current practice location is
17068 Lankford Highway, Eastville, Virginia. You can reach out to her office (for appointments etc.) via phone at
(757) 414-0400.
Mary Kathryn Michaelis is licensed to practice in Alabama (license number 2023207144) 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 1962267997.
Provider's Profile
| Full Name | Mary Kathryn Michaelis |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 3 Years |
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| Location | 17068 Lankford Highway, Eastville, Virginia |
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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 Kathryn Michaelis graduated from nursing school in 2023
NPI Data:
- NPI Number: 1962267997
- Provider Enumeration Date: 02/19/2024
- Last Update Date: 03/06/2026
Medicare PECOS Information:
- PECOS PAC ID: 5890237440
- Enrollment ID: I20241022001752
Medical Identifiers
Medical identifiers for Mary Kathryn Michaelis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1962267997 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 0024190998 (Virginia) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 2023207144 (Alabama) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Eastern Shore Rural Health System Incorporated | 2668380106 | 36 |
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 Kathryn Michaelis allows following entities to bill medicare on her behalf.
| Entity Name | Eastern Shore Rural Health System Incorporated |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043341613
PECOS PAC ID: 2668380106
Enrollment ID: O20040122001049 |
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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 Kathryn Michaelis 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 Kathryn Michaelis, PMHNP-BC
20280 Market St,
Onancock, VA 23417-1331
Ph: (757) 414-0400 | Mary Kathryn Michaelis, PMHNP-BC
17068 Lankford Highway,
Eastville, VA 23347
Ph: (757) 414-0400 |
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