Mary T Rhodes, FNP is a medicare enrolled "Nurse Practitioner - Family" in Alsip, Illinois. She graduated from nursing school in 2013 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Premise Health Of Illinois Medical Pc and her current practice location is
6195 W. 115th St, Suite A, Alsip, Illinois. You can reach out to her office (for appointments etc.) via phone at
(312) 262-7002.
Mary T Rhodes is licensed to practice in Illinois (license number 209010983) 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 1275954117.
Provider's Profile
| Full Name | Mary T Rhodes |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 13 Years |
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| Location | 6195 W. 115th St, Alsip, Illinois |
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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. |
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Medical Education and Training:
- Mary T Rhodes graduated from nursing school in 2013
NPI Data:
- NPI Number: 1275954117
- Provider Enumeration Date: 12/19/2013
- Last Update Date: 01/20/2023
Medicare PECOS Information:
- PECOS PAC ID: 8325279987
- Enrollment ID: I20140324001450
Medical Identifiers
Medical identifiers for Mary T Rhodes such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275954117 | NPI | - | NPPES |
| $$$$$$$$$ | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 209010983 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Premise Health Of Illinois Medical Pc | 3971764762 | 27 |
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 T Rhodes allows following entities to bill medicare on her behalf.
| Entity Name | Little Company Of Mary Affiliated Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033162086
PECOS PAC ID: 5193629202
Enrollment ID: O20040127000775 |
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| Entity Name | Premise Health Of Illinois Medical Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427366921
PECOS PAC ID: 3971764762
Enrollment ID: O20120423000619 |
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| Entity Name | Saint Xavier University |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1851697700
PECOS PAC ID: 8022245083
Enrollment ID: O20131218001691 |
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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 T Rhodes 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 |
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Mary T Rhodes, FNP
6195 W. 115th St, Suite A,
Alsip, IL 60803-3703
Ph: (312) 262-7002 | Mary T Rhodes, FNP
6195 W. 115th St, Suite A,
Alsip, IL 60803-6080
Ph: (312) 262-7002 |
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