Mr Steven Michael Mallory, LPC LADC in Ponca City, OK

Mr Steven Michael Mallory, LPC LADC is a medicare enrolled "Counselor - Mental Health" provider in Ponca City, Oklahoma. His current practice location is 1500 North 6th Street, Ponca City, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (580) 762-7561.

Mr Steven Michael Mallory is licensed to practice in Oklahoma (license number LPC1418) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1639244080.

Contact Information

	Mr Steven Michael Mallory, LPC LADC
	1500 North 6th Street, Ponca City, OK 74601
	(580) 762-7561
	(580) 762-5876

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Steven Michael Mallory
Gender	Male
Speciality	Counselor - Mental Health
Location	1500 North 6th Street, Ponca City, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639244080
Provider Enumeration Date: 11/21/2006
Last Update Date: 06/27/2023

Medicare PECOS Information:

PECOS PAC ID: 1355792300
Enrollment ID: I20240104000584

Medical Identifiers

Medical identifiers for Mr Steven Michael Mallory such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639244080	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	476 (Oklahoma)	Secondary
101YM0800X	Counselor - Mental Health	LPC1418 (Oklahoma)	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. Mr Steven Michael Mallory allows following entities to bill medicare on his behalf.

Entity Name	Fairfax Medical Facilities Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538183173 PECOS PAC ID: 4284663360 Enrollment ID: O20060209000250

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. Mr Steven Michael 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
Mr Steven Michael Mallory, LPC LADC 212 N Main St, Fairfax, OK 74637-3023 Ph: (918) 642-3100	Mr Steven Michael Mallory, LPC LADC 1500 North 6th Street, Ponca City, OK 74601 Ph: (580) 762-7561

Reviews and Comments

Counselor in Ponca City, OK

Kirk Michael Hollis, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 W Grand Ave, Ponca City, OK 74601 Phone: 580-767-8000
Laura Anne Peitz, M.S., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3415 Meadow Ln, Ponca City, OK 74604 Phone: 580-762-5948
Charles Nix, L.P.C. CANDIDATE Counselor Medicare: Not Enrolled in Medicare Practice Location: 106 N 5th St, Ponca City, OK 74601 Phone: 580-242-4673
Renia Lynn Batman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1500 N 6th St, Ponca City, OK 74601 Phone: 918-287-1175
Ms. Anne Johnson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 425 Fairview Ave, Ponca City, OK 74601 Phone: 580-765-3900
Lauren Kirk, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 N 4th St, Ponca City, OK 74601 Phone: 580-749-5056
Ashley Merz, BS, MPS Counselor Medicare: Not Enrolled in Medicare Practice Location: 620 W Grand Ave, Ponca City, OK 74601 Phone: 580-762-1462 Fax: 580-765-7299

Mr Steven Michael Mallory, LPC LADC - Medicare Counselor in Ponca City, OK