Mallory Knoll, RDN in Bethlehem, PA - Medicare Dietitian, Registered Provider

Mallory Knoll, RDN is a medicare enrolled "Dietitian, Registered" provider in Bethlehem, Pennsylvania. Her current practice location is 2300 Highland Ave, Bethlehem, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (610) 861-8080.

Mallory Knoll is licensed to practice in Pennsylvania (license number DN006181) 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 1205320330.

Contact Information

	Mallory Knoll, RDN
	2300 Highland Ave, Bethlehem, PA 18020
	(610) 861-8080
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mallory Knoll
Gender	Female
Speciality	Dietitian, Registered
Location	2300 Highland Ave, Bethlehem, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205320330
Provider Enumeration Date: 06/21/2018
Last Update Date: 07/19/2018

Medicare PECOS Information:

PECOS PAC ID: 1850641788
Enrollment ID: I20180913002097

Medical Identifiers

Medical identifiers for Mallory Knoll such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205320330	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	DN006181 (Pennsylvania)	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 Knoll allows following entities to bill medicare on her behalf.

Provider Name	Chs Professional Practice Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1710987417 PECOS PAC ID: 4880591288 Enrollment ID: O20040521000334

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 Knoll 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 Knoll, RDN 316 Milkweed Dr, Allentown, PA 18104-8213 Ph: () -	Mallory Knoll, RDN 2300 Highland Ave, Bethlehem, PA 18020 Ph: (610) 861-8080

Reviews and Comments

Dietitian, Registered in Bethlehem, PA

Amanda Blair Stone, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2545 Schoenersville Rd, Bethlehem, PA 18017 Phone: 215-262-5490
K.shan Performance Llc. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1130 W Broad St Ste 101, Bethlehem, PA 18018 Phone: 484-554-9638
Lori Ahdieh, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2855 Schoenersville Rd, Clinical Nutrition, Bethlehem, PA 18017 Phone: 484-884-2964
Mrs. Suzanne Carol Ickes, R.D., LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2545 Schoenersville Rd, Lehighvalley Hospital -clinical Nutrition, Bethlehem, PA 18017 Phone: 484-788-1255
Mrs. Shannon Rose Wacker, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2545 Schoenersville Rd, Bethlehem, PA 18017 Phone: 516-806-7758
Amanda Egry, MS, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2545 Schoenersville Rd, Bethlehem, PA 18017 Phone: 484-884-2964

Mallory Knoll, RDN - Medicare Dietitian in Bethlehem, PA