Mary Mcmahon, DNP, FNP-BC, CRNP in Latrobe, PA

Mary Mcmahon, DNP, FNP-BC, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Latrobe, Pennsylvania. Her current practice location is 555 Pa-217, #1, Latrobe, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (724) 694-2723.

Mary Mcmahon is licensed to practice in Pennsylvania (license number SP025695) 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 1174261374.

Contact Information

	Mary Mcmahon, DNP, FNP-BC, CRNP
	555 Pa-217, #1, Latrobe, PA 15650
	(724) 694-2723
	Not Available

Map and Direction

Provider's Profile

Full Name	Mary Mcmahon
Gender	Female
Speciality	Nurse Practitioner - Family
Location	555 Pa-217, Latrobe, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174261374
Provider Enumeration Date: 05/26/2022
Last Update Date: 09/10/2025

Medicare PECOS Information:

PECOS PAC ID: 7618359563
Enrollment ID: I20220809002112

Medical Identifiers

Medical identifiers for Mary Mcmahon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174261374	NPI	-	NPPES
SP025695	Other	PA	LICENSE NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	SP025695 (Pennsylvania)	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 Mcmahon allows following entities to bill medicare on her behalf.

Entity Name	Excela Health Physician Practices, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821225202 PECOS PAC ID: 6204737117 Enrollment ID: O20040322001393

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 Mcmahon 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 Mcmahon, DNP, FNP-BC, CRNP 1337 Foxboro Dr, Monroeville, PA 15146-4439 Ph: (724) 953-4889	Mary Mcmahon, DNP, FNP-BC, CRNP 555 Pa-217, #1, Latrobe, PA 15650 Ph: (724) 694-2723

Reviews and Comments

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Amanda Nicole Dalla Betta, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Excela Health Dr Ste 103, Latrobe, PA 15650 Phone: 724-804-1780 Fax: 724-804-1777
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Mary Mcmahon, DNP, FNP-BC, CRNP - Medicare Nurse Practitioner in Latrobe, PA