Mary L Wilkerson Brabham, PT is a medicare enrolled "Physical Therapist" provider in Bonne Terre, Missouri. She graduated from medical school in 1999 and has 27 years of diverse experience with area of expertise as Physical Therapist In Private Practice. She is a member of the group practice Potential Therapy Services Llc and her current practice location is
55 Nesbit Dr, Bonne Terre, Missouri. You can reach out to her office (for appointments etc.) via phone at
(573) 358-9553.
Mary L Wilkerson Brabham is licensed to practice in Missouri (license number 2018002511) 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 1952420424.
Healthcare Provider's Profile
| Full Name | Mary L Wilkerson Brabham |
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| Gender | Female |
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| Speciality | Physical Therapist In Private Practice |
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| Experience | 27 Years |
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| Location | 55 Nesbit Dr, Bonne Terre, 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 L Wilkerson Brabham graduated from medical school in 1999
NPI Data:
- NPI Number: 1952420424
- Provider Enumeration Date: 03/28/2007
- Last Update Date: 04/06/2026
Medicare PECOS Information:
- PECOS PAC ID: 4789967019
- Enrollment ID: I20251112000987
Medical Identifiers
Medical identifiers for Mary L Wilkerson Brabham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1952420424 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225100000X | Physical Therapist | 2018002511 (Missouri) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Potential Therapy Services Llc | 5890065361 | 12 |
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 L Wilkerson Brabham 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 L Wilkerson Brabham, PT 55 Nesbit Dr, Bonne Terre, MO 63628-1353 Ph: (573) 358-9553 | Mary L Wilkerson Brabham, PT 55 Nesbit Dr, Bonne Terre, MO 63628-1353 Ph: (573) 358-9553 |
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