Mary L Drey, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

19670 Issued in NE

Practice address

4701 Normal Blvd
Lincoln, NE 68506-5563

Phone

(402) 488-5050

Fax

(402) 488-5001

NPI assigned

Dec 5, 2006

Last updated

Jul 26, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mary L Chaisson Former name

Medicare fee-for-service enrollment

Enrolled in NE

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

• Capital Medical Clinic LLP

  • Family Medicine Physician
  • Lincoln, NE
  • NPI 1275876468
  Medicare reassignment

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374796800000",
    "number": "1285792903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 NORMAL BLVD",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685065563",
            "telephone_number": "402-488-5050",
            "fax_number": "402-488-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 NORMAL BLVD",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685065563",
            "telephone_number": "402-488-5050",
            "fax_number": "402-488-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREY",
        "first_name": "MARY",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2013-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "19670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100263068-00",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "CHAISSON",
            "middle_name": "L",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ashley Elaine Drevo, APRN
• Danielle Drevo
• Drew B. Attanasio, D.D.S., P.C.
• Suzanna Drew
• Karen Drews
• Joann Dreyer
• Amanda S Drier, INTERN
• Anne E Driewer
• Matthew L Driewer, MD
• Kathryn Faye Dritt

• Internal Medicine Physician in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Internal Medicine Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.