DR. MARY WILLARD M.D
NPI 1336138007
Family Medicine in Haddon Heights, NJ
About Dr. Mary Willard M.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARY WILLARD M.D (NPI 1336138007) is an individual family medicine provider in Haddon Heights, New Jersey, licensed in New Jersey (25MA03267500) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS and maintains a secondary practice location in Voorhees.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Mary Willard M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mary Willard reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Cherry Hill, NJ 08034
- Reassigned Medicare billing, New Jersey enrollment
- Also billed through NPI 1093929895 (New Jersey)
- 157 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 08035 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HADDON HEIGHTS, NJ 08035
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mary Willard's NPI number?
The NPI number for Mary Willard is 1336138007. It was assigned to this individual provider in the NPPES registry on October 17, 2005.
Where is Mary Willard located?
Mary Willard practices at 504 White Horse Pike, Haddon Heights, NJ 08035. The listed phone number is (856) 546-7990.
What is Mary Willard's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Mary Willard enrolled in Medicare?
Yes. Mary Willard is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mary Willard's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Willard reassigns Medicare benefits to Cooper Family Medicine, PC (Cherry Hill, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Willard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Willard accept?
Health plans from Oscar Health list Mary Willard as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mary Willard was last updated on July 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Mary Willard, M.D · NPI 1336138007
Family Medicine physician in Haddon Heights, New Jersey. Individual provider, active in the CMS NPPES registry since October 17, 2005.
## Identity
- **NPI:** 1336138007 (Entity type: Individual)
- **Enumerated:** October 17, 2005
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 25MA03267500 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 504 WHITE HORSE PIKE, Haddon Heights, NJ 08035
- **Phone:** (856) 546-7990
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Cooper Family Medicine, PC (NPI 1649217175, Cherry Hill, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 30, 2019
- **Other identifiers:** Medicaid 2249201 (NJ)
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Source: [NPI Profile](https://npiprofile.com/npi/1336138007) · Data from the CMS NPPES public registry.