Kelly Kathleen Malloy, MD - Medicare Obstetrics/gynecology in De Pere, WI

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Kelly Kathleen Malloy, MD is a medicare enrolled "Obstetrics & Gynecology" physician in De Pere, Wisconsin. She went to Creighton University School Of Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Aurora Medical Group, Inc. and her current practice location is 1881 Chicago St, De Pere, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 403-8000.

Kelly Kathleen Malloy is licensed to practice in Wisconsin (license number 52534) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1578787073.

Contact Information

Kelly Kathleen Malloy, MD
1881 Chicago St,
De Pere, WI 54115-3770
(920) 403-8000
Not Available

Map and Direction




Physician's Profile

Full NameKelly Kathleen Malloy
GenderFemale
SpecialityObstetrics/gynecology
Experience17 Years
Location1881 Chicago St, De Pere, Wisconsin
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelly Kathleen Malloy attended and graduated from Creighton University School Of Medicine in 2007
  NPI Data:
  • NPI Number: 1578787073
  • Provider Enumeration Date: 04/13/2007
  • Last Update Date: 07/11/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5991974958
  • Enrollment ID: I20110808000585

Medical Identifiers

Medical identifiers for Kelly Kathleen Malloy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578787073NPI-NPPES
100016355MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 52534 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Aurora Baycare Medical CtrGreen bay, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Aurora Medical Group, Inc.67097942583269

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. Kelly Kathleen Malloy allows following entities to bill medicare on her behalf.
Entity NameAurora Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427271378
PECOS PAC ID: 6709794258
Enrollment ID: O20031105000725

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. Kelly Kathleen Malloy 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
Kelly Kathleen Malloy, MD
Po Box 735044,
Chicago, IL 60673-5044

Ph: (800) 326-2250		Kelly Kathleen Malloy, MD
1881 Chicago St,
De Pere, WI 54115-3770

Ph: (920) 403-8000

Reviews and Comments


Obstetrics & Gynecology Doctors in De Pere, WI

Thomas E Reinardy, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1716 Lawrence Dr Ste 100, De Pere, WI 54115
Phone: 920-605-3115    Fax: 920-486-6826
Dr. Madeleine Neri Guevara, D.O.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1716 Lawrence Dr Ste 100, De Pere, WI 54115
Phone: 920-605-3115    Fax: 920-486-6826
Robert Alan Cavanaugh, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 1800 Lawrence Dr, De Pere, WI 54115
Phone: 920-983-3220    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.