Mary Leadith Mcnulty, NP - Medicare Nurse Practitioner in Canton, MI

Mary Leadith Mcnulty, NP is a medicare enrolled "Nurse Practitioner" in Canton, Michigan. Her current practice location is 1051 N Canton Center Rd, Canton, Michigan. You can reach out to her office (for appointments etc.) via phone at (734) 844-5400.

Mary Leadith Mcnulty is licensed to practice in Michigan (license number 4704196438) 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 1730211194.

Contact Information

Mary Leadith Mcnulty, NP
1051 N Canton Center Rd,
Canton, MI 48187-5097
(734) 844-5400
Not Available

Map and Direction




Provider's Profile

Full NameMary Leadith Mcnulty
GenderFemale
SpecialityNurse Practitioner
Location1051 N Canton Center Rd, Canton, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1730211194
  • Provider Enumeration Date: 03/12/2007
  • Last Update Date: 05/13/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 6103872957
  • Enrollment ID: I20050324001017

Medical Identifiers

Medical identifiers for Mary Leadith Mcnulty such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730211194NPI-NPPES
4698876MedicaidMI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LC1500XNurse Practitioner - Community Health 4704196438 (Michigan)Secondary
363LP2300XNurse Practitioner - Primary Care 4704196438 (Michigan)Secondary
363L00000XNurse Practitioner 4704196438 (Michigan)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 Leadith Mcnulty allows following entities to bill medicare on her behalf.
Entity NameRegents Of The University Of Michigan
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447275102
PECOS PAC ID: 3779496856
Enrollment ID: O20031121000371

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 Leadith Mcnulty 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 Leadith Mcnulty, NP
3621 S State St,
Ann Arbor, MI 48108-1633

Ph: (734) 647-5299
Mary Leadith Mcnulty, NP
1051 N Canton Center Rd,
Canton, MI 48187-5097

Ph: (734) 844-5400

Reviews and Comments


Nurse Practitioner Nurses in Canton, MI

Lucinda Pryor,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1161 Stacy Dr, Canton, MI 48188
Phone: 313-740-5358    
Wendy Storey, CNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 49650 Cherry Hill Rd, Suite 210, Canton, MI 48187
Phone: 734-398-7899    Fax: 734-398-7895
Molly Mcintyre, CNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 49650 Cherry Hill Rd, Suite 210, Canton, MI 48187
Phone: 734-398-7899    Fax: 734-398-7895
Patricia Reckling, CNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 49650 Cherry Hill Rd, Suite 210, Canton, MI 48187
Phone: 734-398-7899    Fax: 734-398-7895
Jaclyn Riley,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2050 N Haggerty Rd Ste 200, Canton, MI 48187
Phone: 313-550-3353    
Mrs. Theodora Chukwudi, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 45300 Cherry Hill Rd, Canton, MI 48187
Phone: 734-981-3968    
Jennifer Martz,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 6300 N Haggerty Rd, Suite Number 210, Canton, MI 48187
Phone: 734-641-3000    

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.