MARY KATHERINE PHILLIPS P.A.
NPI 1891722096
Physician Assistant in Tallahassee, FL

Active since June 26, 2006PECOS EnrolledAccepts Medicare Assignment
2824 MAHAN DR STE 1, TALLAHASSEE, FL 32308(850) 558-1260(850) 558-1298 Get Directions Write a Review

NPPES record last updated: February 10, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mary Katherine Phillips P.a. NPPES

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

MARY KATHERINE PHILLIPS P.A. (NPI 1891722096) is an individual physician assistant in Tallahassee, Florida, licensed in Florida (PA9107708) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1891722096
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARY KATHERINE PHILLIPSCredential: P.A.
Location Address2824 MAHAN DR STE 1Tallahassee, FL 32308-5429
Mailing Address1401 Centerville Rd, Suite 300Tallahassee, FL 32308-4647 · (850) 558-1260 · Fax (850) 558-1298
Fax(850) 558-1298
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJune 26, 2006
Last NPPES UpdateFebruary 10, 2014
NPI 1891722096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in FL · PA9107708
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2824 MAHAN DR STE 1, Tallahassee, FL 32308

Other Names 1

Former Name (1)Mary K Vaughan Pa

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

Mary Katherine Phillips P.a. 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.

PECOS PAC ID5092718411
PECOS Enrollment IDI20060824000111
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 32308 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
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 4

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

Anesthesiology (Pain Medicine)
2824 MAHAN DR STE 1
TALLAHASSEE, FL 32308
Anesthesiology
2824 MAHAN DR STE 1
TALLAHASSEE, FL 32308
Nurse Practitioner (Adult Health)
2824 MAHAN DR STE 1
TALLAHASSEE, FL 32308
Nurse Practitioner (Adult Health)
2824 MAHAN DR STE 1
TALLAHASSEE, FL 32308

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891722096, enumerated as an "individual" on June 26, 2006.

The provider is located at 2824 MAHAN DR STE 1 TALLAHASSEE, FL 32308 and the phone number is (850) 558-1260.

Physician Assistant with taxonomy code 363A00000X.