Mallory Enzor Marshall, in Columbia, SC

Mallory Enzor Marshall, is a medicare enrolled "Pediatrics" physician in Columbia, South Carolina. Her current practice location is Prisma Health Children's Hospital Outpatient Center, 14 Medical Park, Suite 400, Columbia, South Carolina. You can reach out to her office (for appointments etc.) via phone at (893) 434-6155.

Mallory Enzor Marshall is licensed to practice in South Carolina (license number LL86290) 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 1639743081.

Contact Information

	Mallory Enzor Marshall,
	Prisma Health Children's Hospital Outpatient Center, 14 Medical Park, Suite 400, Columbia, SC 29203
	(893) 434-6155
	(803) 434-6979

Map and Direction

Physician's Profile

Full Name	Mallory Enzor Marshall
Gender	Female
Speciality	Pediatrics
Location	Prisma Health Children's Hospital Outpatient Center, Columbia, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639743081
Provider Enumeration Date: 05/19/2021
Last Update Date: 08/02/2021

Medicare PECOS Information:

PECOS PAC ID: 7315341625
Enrollment ID: I20240702000902

Medical Identifiers

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

Identifier	Type	State	Issuer
1639743081	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	LL86290 (South Carolina)	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 Enzor Marshall allows following entities to bill medicare on her behalf.

Entity Name	The Dch Healthcare Authority
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841394418 PECOS PAC ID: 8123924248 Enrollment ID: O20040204000874

Entity Name	Capstone Health Services Foundation Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740397751 PECOS PAC ID: 6103724489 Enrollment ID: O20040330001160

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 Enzor Marshall 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 Enzor Marshall, Prisma Health Children's Hospital Outpatient Center, 14 Medical Park, Suite 400, Columbia, SC 29203 Ph: (893) 434-6155	Mallory Enzor Marshall, Prisma Health Children's Hospital Outpatient Center, 14 Medical Park, Suite 400, Columbia, SC 29203 Ph: (893) 434-6155

Reviews and Comments

Pediatrics Doctors in Columbia, SC

Argiri X Brook, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 14 Richland Medical Park Dr Ste 310, Columbia, SC 29203 Phone: 803-434-2300 Fax: 803-434-8686
Dr. Beverley Deloris Wilson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Harbison Way Ste 221, Columbia, SC 29212 Phone: 803-724-7560 Fax: 833-320-1558
Dr. William Joseph Westerkam, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 320 Harbison Blvd, Ste 290, Columbia, SC 29212 Phone: 803-749-0181 Fax: 803-749-3229
Michael Cory Lever, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 14 Richland Medical Park Dr Ste 320, Columbia, SC 29203 Phone: 803-434-6771 Fax: 803-434-3955
Dr. Bhavana R Yajnik, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1333 Taylor St, Suite 6a, Columbia, SC 29201 Phone: 803-254-2706 Fax: 803-254-1318
Andrew Marshall Reittinger, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 14 Medical Park Ste 400, Children's Hospital Outpatient Center, Columbia, SC 29203 Phone: 803-434-6155 Fax: 803-434-6979
Kevin Manley, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 14 Richland Medical Park Dr, Columbia, SC 29203 Phone: 803-434-6155

Mallory Enzor Marshall, - Medicare Pediatrics in Columbia, SC