Mayra Toledo, in Mishawaka, IN - Medicare Nurse Practitioner

Mayra Toledo, is a medicare enrolled "Nurse Practitioner - Neonatal, Critical Care" in Mishawaka, Indiana. Her current practice location is 5215 Holy Cross Pkwy, Mishawaka, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 335-4145.

Mayra Toledo is licensed to practice in Indiana (license number 71013105A) 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 1063153450.

Contact Information

	Mayra Toledo,
	5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469
	(574) 335-4145
	Not Available

Map and Direction

Provider's Profile

Full Name	Mayra Toledo
Gender	Female
Speciality	Nurse Practitioner - Neonatal, Critical Care
Location	5215 Holy Cross Pkwy, Mishawaka, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063153450
Provider Enumeration Date: 04/07/2022
Last Update Date: 09/27/2022

Medicare PECOS Information:

PECOS PAC ID: 5991181844
Enrollment ID: I20220930001087

Medical Identifiers

Medical identifiers for Mayra Toledo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063153450	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WN0002X	Registered Nurse - Neonatal Intensive Care	28214704C (Indiana)	Secondary
363LN0000X	Nurse Practitioner - Neonatal	71013105A (Indiana)	Secondary
363LN0005X	Nurse Practitioner - Neonatal, Critical Care	71013105A (Indiana)	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. Mayra Toledo allows following entities to bill medicare on her behalf.

Entity Name	Saint Joseph Regional Medical Center-south Bend Campus Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841245594 PECOS PAC ID: 3476451790 Enrollment ID: O20031223000724

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. Mayra Toledo 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
Mayra Toledo, 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 Ph: (574) 335-4145	Mayra Toledo, 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 Ph: (574) 335-4145

Reviews and Comments

Nurse Practitioner Nurses in Mishawaka, IN

Kyla M Schauss, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 413 W Mckinley Ave Ste D, Mishawaka, IN 46545 Phone: 574-282-3230 Fax: 574-282-3240
Teresa Marie Dobrzykowski, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 316 Indian Ridge Blvd, Mishawaka, IN 46545 Phone: 800-635-5516
Amy Brown, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5215 Holy Cross Pkwy, Mishawaka, IN 46545 Phone: 574-335-5000
Mrs. Oluyinka Grace Osunnuga, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1540 Trinity Pl, Mishawaka, IN 46545 Phone: 765-674-3321
Shea Lee Warner, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 231 W Day Rd, Mishawaka, IN 46545 Phone: 574-335-4700
Mrs. Blair Renee Herrman, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 524 E Mckinley Ave, Mishawaka, IN 46545 Phone: 574-256-2556
Juanita Marie Roberts, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1625 E Jefferson Blvd, Mishawaka, IN 46545 Phone: 574-255-1400

Mayra Toledo, - Medicare Nurse Practitioner in Mishawaka, IN