DR. MARY L WISNIEWSKI M.D. - NPI 1548201890 - Pediatrics in Jacksonville, NC

Q: What is Mary Wisniewski's NPI number?

The NPI number for Mary Wisniewski is 1548201890. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Q: What is Mary Wisniewski's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Wisniewski was last updated on November 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Mary L Wisniewski M.d. NPPES

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

DR. MARY L WISNIEWSKI M.D. (NPI 1548201890) is an individual pediatrics provider in Jacksonville, North Carolina, licensed in North Carolina (2010-01227) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548201890

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. MARY L WISNIEWSKICredential: M.D.

Location Address118 MEMORIAL DRJacksonville, NC 28546-6328

Mailing AddressPo Box 986513, Department 100Boston, MA 02298-6513 · (910) 219-8326 · Fax (910) 939-4269

Phone(910) 353-0581

Fax(910) 577-1150

Sole ProprietorNo

Enumeration DateJune 9, 2006

Last NPPES UpdateNovember 6, 20235 updates tracked since enumeration

NPPES CertifiedNovember 6, 2023

✔ NPI 1548201890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NC · 2010-01227

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

118 MEMORIAL DR, Jacksonville, NC 28546

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mary L Wisniewski M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28546 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

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

MARIBEL GREEN LSW

Social Worker (Clinical)