Dr William J Mallory, MD - Medicare Diagnostic Radiology in Green Bay, WI

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Dr William J Mallory, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Green Bay, Wisconsin. He went to University Of Wisconsin School Of Medicine and graduated in 1978 and has 46 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Riverside Radiology And Interventional Associates Inc and his current practice location is 2941 S Ridge Rd, Green Bay, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 336-4096.

Dr William J Mallory is licensed to practice in Wisconsin (license number 22719-020) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1083630776.

Contact Information

Dr William J Mallory, MD
2941 S Ridge Rd,
Green Bay, WI 54304-5517
(920) 336-4096
(920) 336-8093

Map and Direction




Physician's Profile

Full NameDr William J Mallory
GenderMale
SpecialityDiagnostic Radiology
Experience46 Years
Location2941 S Ridge Rd, Green Bay, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr William J Mallory attended and graduated from University Of Wisconsin School Of Medicine in 1978
  NPI Data:
  • NPI Number: 1083630776
  • Provider Enumeration Date: 07/14/2006
  • Last Update Date: 06/02/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 2769483833
  • Enrollment ID: I20070117000125

Medical Identifiers

Medical identifiers for Dr William J Mallory such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083630776NPI-NPPES
31370200MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 22719-020 (Wisconsin)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Riverside Radiology And Interventional Associates Inc8729976964198

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. Dr William J Mallory allows following entities to bill medicare on his behalf.
Entity NameSt. Nicholas Hospital-sisters Of The Third Order Of St Francis
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275799413
PECOS PAC ID: 8325931652
Enrollment ID: O20040202001172
Entity NameGreen Bay Radiology Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447327986
PECOS PAC ID: 7113908310
Enrollment ID: O20040525000803
Entity NameGbr Sheboygan Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467529917
PECOS PAC ID: 1951341064
Enrollment ID: O20050509000490
Entity NameSt Vincent Hospital-hospital Sisters-third Order Of St Francis
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285613638
PECOS PAC ID: 5799694675
Enrollment ID: O20080620000423
Entity NameRiverside Radiology And Interventional Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093718496
PECOS PAC ID: 8729976964
Enrollment ID: O20210315000375

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. Dr William J Mallory 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 AddressPractice Location Address
Dr William J Mallory, MD
2941 S Ridge Rd,
Green Bay, WI 54304-5517

Ph: (920) 336-4096		Dr William J Mallory, MD
2941 S Ridge Rd,
Green Bay, WI 54304-5517

Ph: (920) 336-4096

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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