MRS. MARY THERESE FORNETTI MMS PA-C
NPI 1760750889
Physician Assistant in Iron Mountain, MI
About Mrs. Mary Therese Fornetti Mms Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. MARY THERESE FORNETTI MMS PA-C (NPI 1760750889) is an individual physician assistant in Iron Mountain, Michigan, licensed in Missouri (2012005497) and active in the NPI registry since December 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Mary Therese Fornetti Mms Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49801 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
IRON MOUNTAIN, MI 49801
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 Fornetti's NPI number?
The NPI number for Mary Fornetti is 1760750889. It was assigned to this individual provider in the NPPES registry on December 3, 2011. The provider is also known as Mary Therese Gloss.
Where is Mary Fornetti located?
Mary Fornetti practices at 325 E H St, Iron Mountain, MI 49801. The listed phone number is (906) 774-3300.
What is Mary Fornetti's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Mary Fornetti enrolled in Medicare?
Yes. Mary Fornetti is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Mary Fornetti was last updated on June 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Mrs. Mary Therese Fornetti, MMS PA-C · NPI 1760750889
Physician Assistant physician in Iron Mountain, Michigan. Individual provider, active in the CMS NPPES registry since December 3, 2011.
## Identity
- **NPI:** 1760750889 (Entity type: Individual)
- **Enumerated:** December 3, 2011
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 2012005497 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 325 E H ST, Iron Mountain, MI 49801-4760
- **Phone:** (906) 774-3300
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** June 17, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1760750889) · Data from the CMS NPPES public registry.