Mallory Dameron, in Bloomsburg, PA - Medicare Family Medicine

Mallory Dameron, is a medicare enrolled "Family Medicine" physician in Bloomsburg, Pennsylvania. Her current practice location is 240 Mall Blvd, Bloomsburg, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (570) 784-8303.

Mallory Dameron is licensed to practice in Pennsylvania (license number OS023989) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1407434095.

Contact Information

	Mallory Dameron,
	240 Mall Blvd, Bloomsburg, PA 17815-8306
	(570) 784-8303
	(570) 387-5030

Map and Direction

Physician's Profile

Full Name	Mallory Dameron
Gender	Female
Speciality	Family Medicine
Location	240 Mall Blvd, Bloomsburg, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407434095
Provider Enumeration Date: 04/01/2021
Last Update Date: 01/24/2025

Medicare PECOS Information:

PECOS PAC ID: 0749720951
Enrollment ID: I20240913001595

Medical Identifiers

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

Identifier	Type	State	Issuer
1407434095	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	OS023989 (Pennsylvania)	Primary

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 Dameron allows following entities to bill medicare on her behalf.

Entity Name	Geisinger Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518

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 Dameron 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 Dameron, 100 N Academy Ave, Danville, PA 17822-4903 Ph: (570) 784-8303	Mallory Dameron, 240 Mall Blvd, Bloomsburg, PA 17815-8306 Ph: (570) 784-8303

Reviews and Comments

Family Medicine Doctors in Bloomsburg, PA

Dr. Chris Mansel O'neil, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6850 Lows Rd, Ste 325, Bloomsburg, PA 17815 Phone: 570-784-5545 Fax: 570-245-0240
Dr. Dean A. Christian, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2407 Reichart Rd, Bloomsburg, PA 17815 Phone: 570-784-8303 Fax: 570-387-5030
Mr. Timothy James Dennen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 240 Mall Blvd, Bloomsburg, PA 17815 Phone: 570-416-5435 Fax: 570-416-5436
Gordon Alexander Haskell, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 549 E Fair St, Bloomburg Hospital, Bloomsburg, PA 17815 Phone: 717-387-2115
Dr. Ernest W. Campbell, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2407 Reichart Rd, Bloomsburg, PA 17815 Phone: 570-784-8303 Fax: 570-387-5030
Cynthia Ciccotelli, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 240 Mall Blvd, Bloomsburg, PA 17815 Phone: 570-784-8303 Fax: 570-387-5030

Mallory Dameron, - Medicare Family Medicine in Bloomsburg, PA