Mrs Mary O Wunderlich, PA in Red Bud, IL - Medicare Physician Assistant

Mrs Mary O Wunderlich, PA is a medicare enrolled "Physician Assistant" in Red Bud, Illinois. She graduated from nursing school in 1986 and has 38 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Deaconess Illinois Red Bud Regional Hospital Inc and her current practice location is 325 Spring Street, Red Bud, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 282-3831.

Mrs Mary O Wunderlich is licensed to practice in Illinois (license number 085000332) 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 1477856979.

Contact Information

	Mrs Mary O Wunderlich, PA
	325 Spring Street, Red Bud, IL 62278
	(618) 282-3831
	(618) 282-5476

Map and Direction

Provider's Profile

Full Name	Mrs Mary O Wunderlich
Gender	Female
Speciality	Physician Assistant
Experience	38 Years
Location	325 Spring Street, Red Bud, Illinois
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:

Mrs Mary O Wunderlich graduated from nursing school in 1986

NPI Data:

NPI Number: 1477856979
Provider Enumeration Date: 12/06/2010
Last Update Date: 01/25/2023

Medicare PECOS Information:

PECOS PAC ID: 4587847108
Enrollment ID: I20110319000079

Medical Identifiers

Medical identifiers for Mrs Mary O Wunderlich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477856979	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	085-000332 (Illinois)	Secondary
363A00000X	Physician Assistant	085000332 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Red Bud Regional Home Care	Red bud, IL	Home health agency
Red Bud Regional Hospital	Red bud, IL	Hospital
Memorial Hospital	Chester, IL	Hospital
Gateway Regional Medical Center	Granite city, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Deaconess Illinois Red Bud Regional Hospital Inc	9537531579	15

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. Mrs Mary O Wunderlich 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
Mrs Mary O Wunderlich, PA 325 Spring Street, Red Bud, IL 62278 Ph: (618) 282-3831	Mrs Mary O Wunderlich, PA 325 Spring Street, Red Bud, IL 62278 Ph: (618) 282-3831

Reviews and Comments

Physician Assistant Nurses in Red Bud, IL

Mrs. Amber L Harriman, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 325 Spring Street, Red Bud, IL 62278
Phone: 618-282-3831 Fax: 618-282-5476

Mrs Mary O Wunderlich, PA - Medicare Physician Assistant in Red Bud, IL