Individual provider Active NPI

Mae E Wesson, M.D.

  • Ophthalmology Physician
  • Edinburg, TX
National Provider Identifier
1184798019
Registry record updated Dec 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
F2103 Issued in TX
Practice address
2005 West University Drive
Edinburg, TX 78541
Phone
(956) 318-1400
NPI assigned
Nov 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X F2103 TX Primary

Addresses

Primary practice location

2005 West University Drive
Edinburg, TX 78541

Mailing address

2005 West University Drive
Edinburg, TX 78541
Phone (956) 318-1400

Other identifiers 2

IdentifierTypeStateIssuer
126355002MedicaidTX
TXB155773OtherTXMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061220000553 TX Practitioner - Ophthalmology 9133128101 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Baylor College of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shah Eye Center PAGroup PAC ID 7214935543, 8 clinicians

Practice addresses (Care Compare)

1506 E Griffin Pkwy
Mission, TX 78572-2425
Phone (956) 583-0202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
F2103TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shah Eye Center, P.a. Ophthalmology CurrentSince Dec 5, 2024 Accepting new patients
Amedco Texas LLC Past Accepting new patients

Locations

5413 N McColl Rd
McAllen, TX 78504
Phone (956) 618-2600

1506 E Griffin Pkwy
Mission, TX 78572
Phone (956) 583-0202

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354492800000",
    "number": "1184798019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 WEST UNIVERSITY DRIVE",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "78541",
            "telephone_number": "956-318-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 WEST UNIVERSITY DRIVE",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "78541",
            "telephone_number": "956-318-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESSON",
        "first_name": "MAE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2012-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "F2103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126355002",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "TXB155773",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.