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Active NPI 1477856979 Individual Practitioner Female Practitioner

Mary O Wunderlich , PA

Physician Assistant • Red Bud, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Mary Wunderlich, PA is a certified Physician Assistant practicing in Red Bud, IL. With approximately 40 years of clinical experience since completing medical education in 1986, Mary Wunderlich delivers high-quality medical care to the local community at 325 SPRING STREET.

Mary Wunderlich maintains professional affiliations with Red Bud Illinois Hospital Company Llc, Deaconess Illinois Red Bud Regional Hospital Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, administration of influenza virus vaccine. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

325 Spring Street

Red Bud, IL 62278

Telephone 6182823831
Fax 6182825476
Associated Practice Facility / Clinic
🏢 Red Bud Physician Group Llc Facility NPI 1053619148

Medicare Profile & Education

Medical School

Other

Graduation Year

1986

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Red Bud, IL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
40 Yrs +10.5 yrs vs City Avg
City Avg: 29.5 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
2 Specialists

Practicing in Red Bud, IL (4958 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
64.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wunderlich (40 Years) 40 Yrs
Red Bud Specialty Average (29.5 Years) 29.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
73 59 $263.00 $92.06
99213 Established patient office or other outpatient visit, typically 15 minutes
45 30 $178.00 $62.54
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
21 21 $270.00 $98.85
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
11 11 $352.00 $125.04

Medical Specialties & State Licenses

CMS Verified: 2023-01-25
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IL 085000332

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.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License IL 085-000332

Definition to come...

Hospital & Practice Group Affiliations

Deaconess Illinois Red Bud Regional Hospital Inc

325 Spring St, Red Bud, IL 622781105

Phone: 6182827373

Red Bud Illinois Hospital Company Llc

325 Spring St, Red Bud, IL 622781105

Deaconess Illinois Red Bud Regional Hospital Inc

325 Spring St, Red Bud, IL 622781105

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners
Amber Harriman , PA

Physician Assistant

NPI 1033307996

Physician Assistant

Earl Draves , CRNA

Nurse Anesthetist, Certified Registered

NPI 1225032816

Certified Registered Nurse Anesthetist

Muriel Brumley , CCC-SLP

Speech-Language Pathologist

NPI 1295473494

Speech-Language Pathologist (Certificate of Clinical Competence)

Dr. Julie Kelley , MD

Family Medicine

NPI 1306980552

Doctor of Medicine (M.D.)

Mallory Butler , FNP

Nurse Practitioner - Family

NPI 1467803049

Family Nurse Practitioner

NPI 1477086239

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location June 28, 2021

Registered at 325 SPRING STREET, RED BUD, IL 62278 (Tel: 6182823831)

📍
Updated Business Mailing Address June 28, 2021

Registered at 325 SPRING STREET, RED BUD, IL 62278 (Tel: 6182823831)

👤
Provider Name / Credentials Updated June 28, 2021

Recorded as MARY WUNDERLICH, PA

NPI Profile Active December 06, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location December 06, 2010

Registered at 1650 STATE ST, CHESTER, IL 622331001 (Tel: 6188264152)

📍
Updated Business Mailing Address December 06, 2010

Registered at 1650 STATE ST, CHESTER, IL 622331001 (Tel: 6188264152)

👤
Provider Name / Credentials Updated December 06, 2010

Recorded as MARY WUNDERLICH, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 06, 2010

Physician Assistant (License #085-000332 in IL)

🟢
Initial NPI Registration & Enumeration December 06, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477856979
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 06, 2010
Last Update: January 25, 2023
Sole Proprietor: Yes

Mailing Address

325 Spring Street

Red Bud, IL 62278

Phone: 6182823831

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.