Mallory Miles Speth, DC is a medicare enrolled "Chiropractor" provider in Cobb, Wisconsin. Her current practice location is
109 Division St, Cobb, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 723-7723.
Mallory Miles Speth is licensed to practice in Wisconsin (license number 5482-12) 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 1770116865.
Healthcare Provider's Profile
Full Name | Mallory Miles Speth |
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Gender | Female |
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Speciality | Chiropractor |
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Location | 109 Division St, Cobb, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1770116865
- Provider Enumeration Date: 02/17/2020
- Last Update Date: 11/08/2023
Medicare PECOS Information:
- PECOS PAC ID: 6901227446
- Enrollment ID: I20200609000797
Medical Identifiers
Medical identifiers for Mallory Miles Speth such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770116865 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | 5482-12 (Wisconsin) | 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. Mallory Miles Speth allows following entities to bill medicare on her behalf.
Provider Name | Miles Chiropractic, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1477222925 PECOS PAC ID: 2062801731 Enrollment ID: O20211118001104 |
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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 Miles Speth 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 Address | Practice Location Address |
Mallory Miles Speth, DC 109 Division St, Cobb, WI 53526-8501 Ph: (608) 292-9440 | Mallory Miles Speth, DC 109 Division St, Cobb, WI 53526-8501 Ph: (608) 723-7723 |
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