Mallory Rose Stover, LPC-S is a medicare enrolled "Counselor - Professional" provider in Thrall, Texas. Her current practice location is
2650 County Road 450, Thrall, Texas. You can reach out to her office (for appointments etc.) via phone at
(512) 964-4663.
Mallory Rose Stover is licensed to practice in Texas (license number 73618) 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 1427506187.
Healthcare Provider's Profile
Full Name | Mallory Rose Stover |
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Gender | Female |
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Speciality | Counselor - Professional |
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Location | 2650 County Road 450, Thrall, Texas |
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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: 1427506187
- Provider Enumeration Date: 09/12/2016
- Last Update Date: 01/12/2023
Medicare PECOS Information:
- PECOS PAC ID: 5496286833
- Enrollment ID: I20241009001862
Medical Identifiers
Medical identifiers for Mallory Rose Stover such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1427506187 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 73618 (Texas) | 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 Rose Stover allows following entities to bill medicare on her behalf.
Entity Name | Tri-county Clinical |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1336456227 PECOS PAC ID: 1153502869 Enrollment ID: O20110228000657 |
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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 Rose Stover 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 Rose Stover, LPC-S 2650 County Road 450, Thrall, TX 76578-8749 Ph: (512) 964-4663 | Mallory Rose Stover, LPC-S 2650 County Road 450, Thrall, TX 76578-8749 Ph: (512) 964-4663 |
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