Mary R Innis, RN PC - Medicare Certified Clinical Nurse Specialist (cns) in Worcester, MA

Mary R Innis, RN PC is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health, Adult" in Worcester, Massachusetts. She graduated from nursing school in 1984 and has 36 years of diverse experience with area of expertise as Certified Clinical Nurse Specialist (cns). She is a member of the group practice Umass Memorial Medical Group Inc and 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 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 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 NameMary R Innis
GenderFemale
SpecialityCertified Clinical Nurse Specialist (cns)
Experience36 Years
Location100 Century Dr, Worcester, Massachusetts
Accepts Medicare AssignmentsYes. 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 R Innis graduated from nursing school in 1984
  NPI Data:
  • NPI Number: 1053366963
  • Provider Enumeration Date: 05/23/2006
  • Last Update Date: 11/10/2018
  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.
IdentifierTypeStateIssuer
1053366963NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
364SP0809XClinical Nurse Specialist - Psychiatric/mental Health, Adult 167110 (Massachusetts)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Umass Memorial Medical Group Inc42845398911404

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 NameUmass Memorial Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689760092
PECOS PAC ID: 6204745904
Enrollment ID: O20031126000444
Entity NameUmass Memorial Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760445373
PECOS PAC ID: 4284539891
Enrollment ID: O20040113000267

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 AddressPractice 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. 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: 72 Jaques Ave, Worcester, MA 01610
Phone: 508-860-1260    
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
Margaret Burley, RN, PC
Clinical Nurse Specialist
Medicare: Accepting Medicare Assignments
Practice Location: 5 Neponset St, Worcester, MA 01606
Phone: 508-856-0732    Fax: 508-425-5126
Deborah Lynn Chaulk, R.N.
Clinical Nurse Specialist
Medicare: Not Enrolled in Medicare
Practice Location: 26 Queen St, Worcester, MA 01610
Phone: 508-860-7700    Fax: 508-860-7990

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.