Dionetta Christine Mallory, in Stockton, CA - Medicare Social Worker Provider

Dionetta Christine Mallory, is a medicare enrolled "Social Worker - Clinical" provider in Stockton, California. Her current practice location is 2510 N California St, Stockton, California. You can reach out to her office (for appointments etc.) via phone at () -.

Dionetta Christine Mallory is licensed to practice in California (license number 87217) 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 1053965202.

Contact Information

	Dionetta Christine Mallory,
	2510 N California St, Stockton, CA 95204-5502
	() -
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dionetta Christine Mallory
Gender	Female
Speciality	Social Worker - Clinical
Location	2510 N California St, Stockton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053965202
Provider Enumeration Date: 07/26/2019
Last Update Date: 07/26/2019

Medicare PECOS Information:

PECOS PAC ID: 4981037397
Enrollment ID: I20191125002078

Medical Identifiers

Medical identifiers for Dionetta Christine Mallory such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053965202	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	87217 (California)	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. Dionetta Christine Mallory allows following entities to bill medicare on her behalf.

Entity Name	Livingston Community Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427110329 PECOS PAC ID: 8820084692 Enrollment ID: O20040426000617

Entity Name	Port City Operating Company Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528190931 PECOS PAC ID: 5597054452 Enrollment ID: O20170822003812

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. Dionetta Christine Mallory 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
Dionetta Christine Mallory, 2501 N California St, Stockton, CA 95204-5501 Ph: (209) 620-5358	Dionetta Christine Mallory, 2510 N California St, Stockton, CA 95204-5502 Ph: () -

Reviews and Comments

Social Worker in Stockton, CA

Donna L Bickham, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1212 N California St, Stockton, CA 95202 Phone: 209-953-7313 Fax: 209-468-9633
Krystal Madeline Avila, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2495 W March Ln, Stockton, CA 95207 Phone: 209-465-1080
Shani Dharmasena, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1545 Saint Marks Plz, Stockton, CA 95207 Phone: 209-741-7888
Ms. Carol Jeanne Willmett, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1212 N California St, Stockton, CA 95202 Phone: 209-468-8296 Fax: 209-468-3516
Tiffany Dewitte, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1212 N California St, Stockton, CA 95202 Phone: 209-468-7462
Mrs. Torrie Alyn-hughes Piasecki, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7210 Murray Dr, Stockton, CA 95210 Phone: 209-598-6903
Grace Disilvestro, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2495 W March Ln Ste 125, Stockton, CA 95207 Phone: 209-465-1080 Fax: 209-465-2709

Dionetta Christine Mallory, - Medicare Clinical Social Worker in Stockton, CA