Mrs Mallory Suzanne Barrett, MSW, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Holland, Michigan. Her current practice location is
238 Hoover Blvd Ste 30, Holland, Michigan. You can reach out to her office (for appointments etc.) via phone at
(616) 312-2989.
Mrs Mallory Suzanne Barrett is licensed to practice in Michigan (license number 6801117532) 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 1104219971.
Healthcare Provider's Profile
Full Name | Mrs Mallory Suzanne Barrett |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 238 Hoover Blvd Ste 30, Holland, Michigan |
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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: 1104219971
- Provider Enumeration Date: 03/18/2015
- Last Update Date: 03/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 9234575358
- Enrollment ID: I20240312002000
Medical Identifiers
Medical identifiers for Mrs Mallory Suzanne Barrett such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104219971 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 6801117532 (Michigan) | Secondary |
1041C0700X | Social Worker - Clinical | 6801117532 (Michigan) | 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. Mrs Mallory Suzanne Barrett allows following entities to bill medicare on her behalf.
Entity Name | Emhpe Michigan Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1093420960 PECOS PAC ID: 4082088588 Enrollment ID: O20230324000348 |
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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. Mrs Mallory Suzanne Barrett 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 |
Mrs Mallory Suzanne Barrett, MSW, LMSW 1101 Ball Ave Ne, Grand Rapids, MI 49505-5904 Ph: (616) 456-6571 | Mrs Mallory Suzanne Barrett, MSW, LMSW 238 Hoover Blvd Ste 30, Holland, MI 49423-3782 Ph: (616) 312-2989 |
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