Mary R Innis, RN PC in Worcester, MA - Medicare Clinical Nurse Specialist

Mary R Innis, RN PC is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health, Adult" in Worcester, Massachusetts. Her current practice location is 100 Century Dr, Worcester, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (508) 762-5400.

Mary R Innis is licensed to practice in Massachusetts (license number 167110) 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 1053366963.

Contact Information

	Mary R Innis, RN PC
	100 Century Dr, Worcester, MA 01606
	(508) 762-5400
	(508) 762-5410

Map and Direction

Provider's Profile

Full Name	Mary R Innis
Gender	Female
Speciality	Clinical Nurse Specialist - Psychiatric/mental Health, Adult
Location	100 Century Dr, Worcester, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053366963
Provider Enumeration Date: 05/23/2006
Last Update Date: 11/24/2020

Medicare PECOS Information:

PECOS PAC ID: 4183652258
Enrollment ID: I20050729000750

Medical Identifiers

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

Identifier	Type	State	Issuer
1053366963	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
364SP0809X	Clinical Nurse Specialist - Psychiatric/mental Health, Adult	167110 (Massachusetts)	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 R Innis allows following entities to bill medicare on her behalf.

Entity Name	Umass Memorial Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689760092 PECOS PAC ID: 6204745904 Enrollment ID: O20031126000444

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 R Innis 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 R Innis, RN PC Po Box 415348 Provider Enrollment, Boston, MA 02241-5348 Ph: (800) 225-8885	Mary R Innis, RN PC 100 Century Dr, Worcester, MA 01606 Ph: (508) 762-5400

Reviews and Comments

Clinical Nurse Specialist Nurses in Worcester, MA

Ms. Kimberly Beth Abdow, N.P. Clinical Nurse Specialist Medicare: May Accept Medicare Assignments Practice Location: 435 Shrewsbury St, Worcester, MA 01609 Phone: 508-753-5554 Fax: 508-752-7245
Ms. Katarzyna M Podoska-locurto, APRN,BC Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 72 Jaques Avenue, Worcester, MA 01610 Phone: 508-860-1260
Mrs. Kerri Ryder, PMHCNS Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 411 Chandler St, Worcester, MA 01602 Phone: 508-799-0688
Ursula Sawicki Makrum, PMH CNS-BC Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 100 Century Dr, Worcester, MA 01606 Phone: 508-762-5400 Fax: 508-762-5410
Ms. Kathryn Yvonne Raymond, M.S., A.P.R.N., B.C. Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 305 Belmont St, Worcester, MA 01604 Phone: 508-368-3300 Fax: 508-363-1516
Maria Inez Valenca, PMHCNS-BC Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 72 Jaques Ave, Worcester, MA 01610 Phone: 508-860-1163 Fax: 508-860-1115

Mary R Innis, RN PC - Medicare Clinical Nurse Specialist in Worcester, MA