Mary M Kenyon, CNP is a medicare enrolled "Nurse Practitioner - Family" in Fort Sumner, New Mexico. She graduated from nursing school in 2015 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is
Cross Heart Care, 848 N 4th St., Fort Sumner, New Mexico. You can reach out to her office (for appointments etc.) via phone at
(575) 355-2273.
Mary M Kenyon is licensed to practice in New Mexico (license number CNP-02696) 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 1366824963.
Provider's Profile
| Full Name | Mary M Kenyon |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 11 Years |
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| Location | Cross Heart Care, Fort Sumner, New Mexico |
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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. |
Medical Education and Training:
- Mary M Kenyon graduated from nursing school in 2015
NPI Data:
- NPI Number: 1366824963
- Provider Enumeration Date: 06/19/2015
- Last Update Date: 11/11/2021
Medicare PECOS Information:
- PECOS PAC ID: 6406154913
- Enrollment ID: I20160418001026
Medical Identifiers
Medical identifiers for Mary M Kenyon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1366824963 | NPI | - | NPPES |
| 80784275 | Medicaid | NM | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | CNP-02696 (New Mexico) | 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 M Kenyon allows following entities to bill medicare on her behalf.
| Entity Name | Guadalupe County |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346249968 PECOS PAC ID: 9335118918 Enrollment ID: O20110629000074 |
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| Entity Name | Sunrise Clinics |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164055927 PECOS PAC ID: 6800226374 Enrollment ID: O20200423002808 |
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| Entity Name | Cross Heart Care Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790453561 PECOS PAC ID: 2365849395 Enrollment ID: O20210917002079 |
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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 M Kenyon 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 |
Mary M Kenyon, CNP Po Box 928, Fort Sumner, NM 88119-0928 Ph: (575) 355-2273 | Mary M Kenyon, CNP Cross Heart Care, 848 N 4th St., Fort Sumner, NM 88119 Ph: (575) 355-2273 |
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