Mallory Anne Dangelo, DO is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Hudson, Ohio. She went to Ohio State University College Of Homeopathic Medicine and graduated in 2015 and has 9 years of diverse experience with area of expertise as Psychiatry. She is a member of the group practice Summa Physicians Inc and her current practice location is
5655 Hudson Dr Ste 305, Hudson, Ohio. You can reach out to her office (for appointments etc.) via phone at
(330) 650-2111.
Mallory Anne Dangelo is licensed to practice in Ohio (license number 34.012488) 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 1912392143.
Physician's Profile
| Full Name | Mallory Anne Dangelo |
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| Gender | Female |
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| Speciality | Psychiatry |
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| Experience | 9 Years |
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| Location | 5655 Hudson Dr Ste 305, Hudson, Ohio |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mallory Anne Dangelo attended and graduated from Ohio State University College Of Homeopathic Medicine in 2015
NPI Data:
- NPI Number: 1912392143
- Provider Enumeration Date: 04/03/2015
- Last Update Date: 03/11/2020
Medicare PECOS Information:
- PECOS PAC ID: 8921364753
- Enrollment ID: I20171113000538
Medical Identifiers
Medical identifiers for Mallory Anne Dangelo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1912392143 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | 34.012488 (Ohio) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Summa Physicians Inc | 2961303532 | 620 |
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 Anne Dangelo allows following entities to bill medicare on her behalf.
| Entity Name | Summa Physicians Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235167719
PECOS PAC ID: 2961303532
Enrollment ID: O20040116000295 |
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| Entity Name | Coleman Professional Services, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1982637633
PECOS PAC ID: 2769474618
Enrollment ID: O20040331001085 |
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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. Mallory Anne Dangelo 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 |
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Mallory Anne Dangelo, DO
5655 Hudson Dr Ste 305,
Hudson, OH 44236-4454
Ph: (330) 650-2111 | Mallory Anne Dangelo, DO
5655 Hudson Dr Ste 305,
Hudson, OH 44236-4454
Ph: (330) 650-2111 |
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