Mallory Mackie, LICSW in University Place, WA - Medicare Social Worker Provider

Mallory Mackie, LICSW is a medicare enrolled "Social Worker - Clinical" provider in University Place, Washington. Her current practice location is 2701 Sylvan Dr W, University Place, Washington. You can reach out to her office (for appointments etc.) via phone at (253) 241-2287.

Mallory Mackie is licensed to practice in Washington (license number LW61032154) 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 1114426764.

Contact Information

	Mallory Mackie, LICSW
	2701 Sylvan Dr W, University Place, WA 98466-2740
	(253) 241-2287
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mallory Mackie
Gender	Female
Speciality	Social Worker - Clinical
Location	2701 Sylvan Dr W, University Place, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114426764
Provider Enumeration Date: 02/09/2018
Last Update Date: 09/07/2022

Medicare PECOS Information:

PECOS PAC ID: 8123497252
Enrollment ID: I20221213001666

Medical Identifiers

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

Identifier	Type	State	Issuer
1114426764	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LW61032154 (Washington)	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 Mackie allows following entities to bill medicare on her behalf.

Entity Name	Mallory Mackie, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942921952 PECOS PAC ID: 7214306349 Enrollment ID: O20221213001631

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 Mackie 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 Mackie, LICSW 2701 Sylvan Dr W, University Place, WA 98466-2740 Ph: (253) 241-2287	Mallory Mackie, LICSW 2701 Sylvan Dr W, University Place, WA 98466-2740 Ph: (253) 241-2287

Reviews and Comments

Social Worker in University Place, WA

Jamie Brubaker Mcconnell, MHP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4215 Olympic Blvd W, University Place, WA 98466 Phone: 206-979-4421
Kevin Darrow Brown, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4113 Bridgeport Way W Ste C1, University Place, WA 98466 Phone: 443-842-5661 Fax: 844-364-6544
Kirsten Nance, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 8312 27th St W Apt 5, University Place, WA 98466 Phone: 253-209-8094
Alaina Ewing, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4702 89th Ave W, University Place, WA 98466 Phone: 206-859-7345
Kortnie Williams, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7313 35th Street Ct W Apt 5, University Place, WA 98466 Phone: 718-678-0383
Shannon Ryan, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2901 Bridgeport Way W, University Place, WA 98466 Phone: 253-534-7623 Fax: 253-534-7610

Mallory Mackie, LICSW - Medicare Clinical Social Worker in University Place, WA