MARY WILBY
NPI 1497514772
Student in an Organized Health Care Education/Training Program in Myrtle Beach, SC

Q: What is Mary Wilby's NPI number?

The NPI number for Mary Wilby is 1497514772. It was assigned to this individual provider in the NPPES registry on March 18, 2024.

Q: What is Mary Wilby's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Wilby was last updated on March 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 18, 2024PECOS Enrolled

809 82ND PKWY, MYRTLE BEACH, SC 29572(843) 692-4403 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mary Wilby NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY WILBY (NPI 1497514772) is an individual student in an organized health care education/training program in Myrtle Beach, South Carolina and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497514772

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameMARY WILBY

Location Address809 82ND PKWYMyrtle Beach, SC 29572-4607

Mailing Address809 82nd PkwyMyrtle Beach, SC 29572-4607 · (843) 692-4403

Phone(843) 692-4403

Sole ProprietorNo

Enumeration DateMarch 18, 2024

NPPES CertifiedMarch 18, 2024

✔ NPI 1497514772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

809 82ND PKWY, Myrtle Beach, SC 29572

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Wilby is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOUTHEASTERN HOSPITALIST SERVICES PC

Hospitalist