Mary Withoelter, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner" in Ofallon, Missouri. Her current practice location is
2630 State Highway K, Ofallon, Missouri. You can reach out to her office (for appointments etc.) via phone at
(636) 980-5300.
Mary Withoelter is licensed to practice in Missouri (license number 2019033706) 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 1982188389.
Provider's Profile
Full Name | Mary Withoelter |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 2630 State Highway K, Ofallon, Missouri |
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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 Withoelter attended and graduated from in
NPI Data:
- NPI Number: 1982188389
- Provider Enumeration Date: 09/20/2018
- Last Update Date: 04/08/2025
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mary Withoelter such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1982188389 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 2019033706 (Missouri) | Secondary |
363L00000X | Nurse Practitioner | 2019033706 (Missouri) | Primary |
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 Withoelter 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 Withoelter, NURSE PRACTITIONER Po Box 959354, Saint Louis, MO 63195-9354 Ph: (636) 980-5300 | Mary Withoelter, NURSE PRACTITIONER 2630 State Highway K, Ofallon, MO 63368 Ph: (636) 980-5300 |
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