Joseph Ben Mallory, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Ottawa, Illinois. He went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 1977 and has 47 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Central Illinois Radiological Associates Ltd and his current practice location is
1100 E Norris Dr, Ottawa, Illinois. You can reach out to his office (for appointments etc.) via phone at
(815) 434-8890.
Joseph Ben Mallory is licensed to practice in Illinois (license number ) 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 1649367251.
Physician's Profile
Full Name | Joseph Ben Mallory |
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Gender | Male |
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Speciality | Diagnostic Radiology |
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Experience | 47 Years |
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Location | 1100 E Norris Dr, Ottawa, Illinois |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Joseph Ben Mallory attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 1977
NPI Data:
- NPI Number: 1649367251
- Provider Enumeration Date: 10/06/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 8820078355
- Enrollment ID: I20040723000846
Medical Identifiers
Medical identifiers for Joseph Ben Mallory such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649367251 | NPI | - | NPPES |
05032053 | Other | IL | BCBS OF IL |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0202X | Radiology - Diagnostic Radiology | (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Central Illinois Radiological Associates Ltd | 9436061827 | 156 |
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. Joseph Ben Mallory allows following entities to bill medicare on his behalf.
Entity Name | Central Illinois Radiological Associates Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1538192828 PECOS PAC ID: 9436061827 Enrollment ID: O20031104000332 |
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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. Joseph Ben 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 Address | Practice Location Address |
Joseph Ben Mallory, MD Po Box 2426, Ottawa, IL 61350-7026 Ph: (815) 434-8890 | Joseph Ben Mallory, MD 1100 E Norris Dr, Ottawa, IL 61350-1604 Ph: (815) 434-8890 |
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