Mallory Clark, DO in Temple, TX - Medicare Hospitalist

Mallory Clark, DO is a medicare enrolled "Internal Medicine" physician in Temple, Texas. She went to Arizona College Of Osteopathic Medicine Mid Western University and graduated in 2015 and has 9 years of diverse experience with area of expertise as Hospitalist. She is a member of the group practice Scott And White Clinic and her current practice location is 2401 S 31st St, Temple, Texas. You can reach out to her office (for appointments etc.) via phone at (254) 724-2111.

Mallory Clark is licensed to practice in Texas (license number R6166) 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 1659750545.

Contact Information

	Mallory Clark, DO
	2401 S 31st St, Temple, TX 76508
	(254) 724-2111
	Not Available

Map and Direction

Physician's Profile

Full Name	Mallory Clark
Gender	Female
Speciality	Hospitalist
Experience	9 Years
Location	2401 S 31st St, Temple, Texas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mallory Clark attended and graduated from Arizona College Of Osteopathic Medicine Mid Western University in 2015

NPI Data:

NPI Number: 1659750545
Provider Enumeration Date: 05/25/2015
Last Update Date: 09/13/2021

Medicare PECOS Information:

PECOS PAC ID: 7719268689
Enrollment ID: I20180620001590

Medical Identifiers

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

Identifier	Type	State	Issuer
1659750545	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208M00000X	Hospitalist	R6166 (Texas)	Secondary
207R00000X	Internal Medicine	R6166 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Baylor Scott & White Pavilion - Temple	Temple, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Scott And White Clinic	8123923604	2143

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 Clark allows following entities to bill medicare on her behalf.

Entity Name	Scott & White Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093779704 PECOS PAC ID: 8123923604 Enrollment ID: O20031223000640

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 Clark 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 Clark, DO Po Box 844658, Dallas, TX 75284-4658 Ph: (254) 724-2111	Mallory Clark, DO 2401 S 31st St, Temple, TX 76508 Ph: (254) 724-2111

Reviews and Comments

Internal Medicine Doctors in Temple, TX

Raagsudha Jhavar, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1605 S 31st St, Temple, TX 76508 Phone: 254-215-0100 Fax: 254-215-0636
Dr. Farrukh Sarmad Badsha, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St # Msa1300, Temple, TX 76508 Phone: 254-935-5820
Dr. Seetha Kannan, M.D Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2409 Pin Oak Dr, Temple, TX 76502 Phone: 254-774-8060
Jennifer D Moran, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111
Dr. Douglas Randall Bretzing, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2364
Dr. Katherine M. Jew, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1901 S 1st St, Temple, TX 76504 Phone: 254-778-4148
Niket Sonpal, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111

Mallory Clark, DO - Medicare Hospitalist in Temple, TX