Mallory Kathryn Joseph, MD in Grandville, MI

Mallory Kathryn Joseph, MD is a medicare enrolled "Dermatology" physician in Grandville, Michigan. Her current practice location is 4285 Parkway Place Dr Sw, Grandville, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 252-3376.

Mallory Kathryn Joseph is licensed to practice in Michigan (license number 4301509122) 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 1306337399.

Contact Information

	Mallory Kathryn Joseph, MD
	4285 Parkway Place Dr Sw, Grandville, MI 49418-2385
	(616) 252-3376
	Not Available

Map and Direction

Physician's Profile

Full Name	Mallory Kathryn Joseph
Gender	Female
Speciality	Dermatology
Location	4285 Parkway Place Dr Sw, Grandville, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306337399
Provider Enumeration Date: 05/24/2018
Last Update Date: 10/21/2024

Medicare PECOS Information:

PECOS PAC ID: 8325393044
Enrollment ID: I20230824002680

Medical Identifiers

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

Identifier	Type	State	Issuer
1306337399	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	4301509122 (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. Mallory Kathryn Joseph allows following entities to bill medicare on her behalf.

Entity Name	Regents Of The University Of Michigan
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528097128 PECOS PAC ID: 3779496856 Enrollment ID: O20031117000318

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 Kathryn Joseph 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 Kathryn Joseph, MD 4285 Parkway Place Dr Sw, Grandville, MI 49418-2385 Ph: (616) 252-3376	Mallory Kathryn Joseph, MD 4285 Parkway Place Dr Sw, Grandville, MI 49418-2385 Ph: (616) 252-3376

Reviews and Comments

Dermatology Doctors in Grandville, MI

Dr. Brandon William Mcnally, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3434 Rivertown Point Ct Sw, Grandville, MI 49418 Phone: 616-257-3344 Fax: 616-257-1491
Dr. Juan Gabriel Vasquez, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3434 Rivertown Point Ct Sw, Grandville, MI 49418 Phone: 616-257-3344 Fax: 616-257-1491
Dr. Gina Charlene Ang, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3434 Rivertown Point Ct Sw, Grandville, MI 49418 Phone: 616-257-3344 Fax: 616-257-1491
Mr. Kurt Vanderveen, PA-C Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3434 Rivertown Point Ct Sw, Grandville, MI 49418 Phone: 616-257-3344 Fax: 616-257-1491
Mr. Ronald W Reusch, PA C Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3434 Rivertown Point Ct Sw, Grandville, MI 49418 Phone: 616-257-3344 Fax: 616-257-1491
Dr. Douglas A Winstanley, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3434 Rivertown Point Ct Sw, Grandville, MI 49418 Phone: 616-257-3344

Mallory Kathryn Joseph, MD - Medicare Dermatology in Grandville, MI