Mallory Hornsby, RD is a medicare enrolled "Dietitian, Registered" provider in Carrollton, Kentucky. Her current practice location is
309 Eleventh St, Carrollton, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(502) 732-4321.
Mallory Hornsby is licensed to practice in Kentucky (license number 86021591) 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 1356762108.
Healthcare Provider's Profile
| Full Name | Mallory Hornsby |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 309 Eleventh St, Carrollton, Kentucky |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1356762108
- Provider Enumeration Date: 12/20/2013
- Last Update Date: 12/20/2013
Medicare PECOS Information:
- PECOS PAC ID: 1153663778
- Enrollment ID: I20241030004351
Medical Identifiers
Medical identifiers for Mallory Hornsby such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356762108 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | 86021591 (Kentucky) | 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 Hornsby allows following entities to bill medicare on her behalf.
| Provider Name | The Christ Hospital Medical Associates, Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1114107919
PECOS PAC ID: 0244314102
Enrollment ID: O20120503000670 |
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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 Hornsby 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 Hornsby, RD
3010 Taylor Springs Dr,
Louisville, KY 40220-1587
Ph: () - | Mallory Hornsby, RD
309 Eleventh St,
Carrollton, KY 41008-1587
Ph: (502) 732-4321 |
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