Ms Mallory R Hippler, COUNSELOR in Normal, IL

Ms Mallory R Hippler, COUNSELOR is a medicare enrolled "Counselor - Professional" provider in Normal, Illinois. Her current practice location is 2200 Fort Jesse Rd, Normal, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 661-6290.

Ms Mallory R Hippler is licensed to practice in Illinois (license number 180.009500) 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 1063765303.

Contact Information

	Ms Mallory R Hippler, COUNSELOR
	2200 Fort Jesse Rd, Normal, IL 61761-6286
	(309) 661-6290
	(309) 451-1354

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Mallory R Hippler
Gender	Female
Speciality	Counselor - Professional
Location	2200 Fort Jesse Rd, Normal, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063765303
Provider Enumeration Date: 10/24/2012
Last Update Date: 05/10/2017

Medicare PECOS Information:

PECOS PAC ID: 3870943012
Enrollment ID: I20231229001257

Medical Identifiers

Medical identifiers for Ms Mallory R Hippler such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063765303	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	180.009500 (Illinois)	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. Ms Mallory R Hippler allows following entities to bill medicare on her behalf.

Entity Name	Knox Community Health Center Nfp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649526773 PECOS PAC ID: 7618126327 Enrollment ID: O20130221000169

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. Ms Mallory R Hippler 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
Ms Mallory R Hippler, COUNSELOR 2200 Fort Jesse Rd, Normal, IL 61761-6286 Ph: (309) 661-6290	Ms Mallory R Hippler, COUNSELOR 2200 Fort Jesse Rd, Normal, IL 61761-6286 Ph: (309) 661-6290

Reviews and Comments

Counselor in Normal, IL

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Ms Mallory R Hippler, COUNSELOR - Medicare Counselor in Normal, IL