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MARY TAMARIN VICK DO
NPI 1659596112
General Practice in Versailles, KY

Active since April 17, 2007Opted out of Medicare · through Jun 5, 2027
208 CROSSFIELD DR, VERSAILLES, KY 40383(859) 873-8044(859) 873-8045 Get Directions Write a Review

NPPES record last updated: March 17, 2008. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mary Tamarin Vick Do NPPES

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

MARY TAMARIN VICK DO (NPI 1659596112) is an individual general practice provider in Versailles, Kentucky, licensed in Kentucky (02383) and active in the NPI registry since April 2007. She has opted out of Medicare through June 5, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1659596112
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameMARY TAMARIN VICKCredential: DO
Location Address208 CROSSFIELD DRVersailles, KY 40383-1468
Mailing Address208 Crossfield DrVersailles, KY 40383-1468 · (859) 873-8044 · Fax (859) 873-8045
Phone(859) 873-8044
Fax(859) 873-8045
Sole ProprietorNo
Enumeration DateApril 17, 2007
Last NPPES UpdateMarch 17, 2008
✔ NPI 1659596112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in KY · 02383
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
208 CROSSFIELD DR, Versailles, KY 40383
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Other Names 1

Former Name (1)Mary Tamarin Ring Do

Other Identifiers 2

Medicare PIN0289402
Medicare UPINF78724

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mary Tamarin Vick Do has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 5, 2015 through June 5, 2027.

Opt-Out Effective DateJune 5, 2015
Opt-Out In Effect ThroughJune 5, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 3

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

DOUGLAS E VICK DO
Neuromusculoskeletal Medicine & OMM
208 CROSSFIELD DR
VERSAILLES, KY 40383
Woodford County (859) 873-8044
DANIEL BAILEY MOORE DO
Neuromusculoskeletal Medicine & OMM
208 CROSSFIELD DR
VERSAILLES, KY 40383
Woodford County (859) 873-8044
DOUGLAS E. VICK, DO M. TAMARIN VICK, DO
Neuromusculoskeletal Medicine & OMM
208 CROSSFIELD DR
VERSAILLES, KY 40383
Woodford County (859) 873-8044

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 Vick's NPI number?

The NPI number for Mary Vick is 1659596112. It was assigned to this individual provider in the NPPES registry on April 17, 2007. The provider is also known as Mary Tamarin Ring Do.

Where is Mary Vick located?

Mary Vick practices at 208 Crossfield Dr, Versailles, KY 40383. The listed phone number is (859) 873-8044.

What is Mary Vick's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Mary Vick enrolled in Medicare?

No. Mary Vick has opted out of Medicare through June 5, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Mary Vick was last updated on March 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.