Mallory Nichole Humphrey, AUD - Medicare Audiologist in Saint Clair Shores, MI

Mallory Nichole Humphrey, AUD is a medicare enrolled "Audiologist" provider in Saint Clair Shores, Michigan. She graduated from medical school in 2021 and has 3 years of diverse experience with area of expertise as Qualified Audiologist. She is a member of the group practice Hearing Care Center Inc and her current practice location is 21000 E 12 Mile Rd Ste 111, Saint Clair Shores, Michigan. You can reach out to her office (for appointments etc.) via phone at (586) 779-7610.

Mallory Nichole Humphrey is licensed to practice in Michigan (license number 1601001020) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1881269074.

Contact Information

Mallory Nichole Humphrey, AUD
21000 E 12 Mile Rd Ste 111,
Saint Clair Shores, MI 48081-1156
(586) 779-7610
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMallory Nichole Humphrey
GenderFemale
SpecialityQualified Audiologist
Experience3 Years
Location21000 E 12 Mile Rd Ste 111, Saint Clair Shores, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mallory Nichole Humphrey graduated from medical school in 2021
  NPI Data:
  • NPI Number: 1881269074
  • Provider Enumeration Date: 05/21/2021
  • Last Update Date: 07/15/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9931509627
  • Enrollment ID: I20210617001171

Medical Identifiers

Medical identifiers for Mallory Nichole Humphrey such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881269074NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
231H00000XAudiologist 1601001020 (Michigan)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hearing Care Center Inc30728458822

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. Mallory Nichole Humphrey allows following entities to bill medicare on her behalf.
Provider NameAscension St John Hospital
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1043478910
PECOS PAC ID: 3173424082
Enrollment ID: O20040115000409
Provider NameHearing Care Center Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1639615842
PECOS PAC ID: 3072845882
Enrollment ID: O20191029000585

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. Mallory Nichole Humphrey 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
Mallory Nichole Humphrey, AUD
5428 Burton Rd,
Mussey, MI 48014-1111

Ph: () -
Mallory Nichole Humphrey, AUD
21000 E 12 Mile Rd Ste 111,
Saint Clair Shores, MI 48081-1156

Ph: (586) 779-7610

Reviews and Comments


Audiologist in Saint Clair Shores, MI

Dr. Alexandra C Dadich, AUD
Audiologist
Medicare: Accepting Medicare Assignments
Practice Location: 21603 E 11 Mile Rd, Saint Clair Shores, MI 48081
Phone: 248-569-5985    
Lakeshore Audiology
Audiologist
Medicare: Not Enrolled in Medicare
Practice Location: 21000 E 12 Mile Rd, Suite 111, Saint Clair Shores, MI 48081
Phone: 586-779-7610    Fax: 586-779-1391
Audionet Hearing Center
Audiologist
Medicare: Not Enrolled in Medicare
Practice Location: 22631 Greater Mack Ave, Suite 100, Saint Clair Shores, MI 48080
Phone: 586-252-2914    Fax: 586-252-2918
Mr. Aaron T Gale,
Audiologist
Medicare: Medicare Enrolled
Practice Location: 21000 E 12 Mile Rd, Suite 111, Saint Clair Shores, MI 48081
Phone: 586-779-7610    
Jaclyn Marie Sommerville, AU.D, CCC-A
Audiologist
Medicare: Accepting Medicare Assignments
Practice Location: 23233 Nine Mack Dr, Saint Clair Shores, MI 48080
Phone: 586-498-5000    Fax: 844-273-2104
Sommerville Audiology, Llc
Audiologist
Medicare: Medicare Enrolled
Practice Location: 23233 Nine Mack Dr, Saint Clair Shores, MI 48080
Phone: 586-498-5000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.