Ae Mary Vilayvong Irwin, NP - Medicare Nurse Practitioner in Macon, GA

Ae Mary Vilayvong Irwin, NP is a medicare enrolled "Nurse Practitioner" physician in Macon, Georgia. Her current practice location is 380 Hospital Dr Ste 320, Macon, Georgia. You can reach out to her office (for appointments etc.) via phone at (478) 750-8606.

Ae Mary Vilayvong Irwin is licensed to practice in Georgia (license number RN145963) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1306498605.

Contact Information

Ae Mary Vilayvong Irwin, NP
380 Hospital Dr Ste 320,
Macon, GA 31217-8007
(478) 750-8606
Not Available



Physician's Profile

Full NameAe Mary Vilayvong Irwin
GenderFemale
SpecialityNurse Practitioner
Location380 Hospital Dr Ste 320, Macon, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1306498605
  • Provider Enumeration Date: 07/16/2019
  • Last Update Date: 11/29/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0749619237
  • Enrollment ID: I20200403002599

Medical Identifiers

Medical identifiers for Ae Mary Vilayvong Irwin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306498605NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207T00000XNeurological Surgery RN110412 (Georgia)Secondary
363L00000XNurse Practitioner RN145963 (Georgia)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ae Mary Vilayvong Irwin allows following entities to bill medicare on her behalf.
Entity NameGastroenterology Associates Of Central Ga Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528192176
PECOS PAC ID: 6901702059
Enrollment ID: O20031209001042

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Entity NamePiedmont Providers Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548273592
PECOS PAC ID: 9830082825
Enrollment ID: O20040204000321

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Entity NameGeorgia Neurosurgical Institute, P.c
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972558336
PECOS PAC ID: 7517958234
Enrollment ID: O20040521000071

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› Verified 5 days ago

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ae Mary Vilayvong Irwin is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ae Mary Vilayvong Irwin, NP
840 Pine St Ste 880,
Macon, GA 31201-7525

Ph: (478) 743-7092
Ae Mary Vilayvong Irwin, NP
380 Hospital Dr Ste 320,
Macon, GA 31217-8007

Ph: (478) 750-8606

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› Verified 5 days ago



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