Mallory Fahnestock, DPT is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Perryville, Missouri. She graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Therapy Solutions Llc and her current practice location is
1506 W Saint Joseph St, Perryville, Missouri. You can reach out to her office (for appointments etc.) via phone at
(573) 517-7900.
Mallory Fahnestock is licensed to practice in Missouri (license number 2014004288) 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 1265856173.
Physician's Profile
| Full Name | Mallory Fahnestock |
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| Gender | Female |
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| Speciality | Physical Therapy |
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| Experience | 11 Years |
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| Location | 1506 W Saint Joseph St, Perryville, Missouri |
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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 Fahnestock graduated from medical school in 2013
NPI Data:
- NPI Number: 1265856173
- Provider Enumeration Date: 02/12/2014
- Last Update Date: 02/12/2014
Medicare PECOS Information:
- PECOS PAC ID: 3375775265
- Enrollment ID: I20140408000419
Medical Identifiers
Medical identifiers for Mallory Fahnestock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1265856173 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | 2014004288 (Missouri) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Therapy Solutions Llc | 0547289902 | 3 |
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 Fahnestock allows following entities to bill medicare on her behalf.
| Entity Name | Therapy Solutions Llc |
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| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Entity Identifiers | NPI Number: 1790894962
PECOS PAC ID: 0547289902
Enrollment ID: O20070313000190 |
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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 Fahnestock 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 Fahnestock, DPT
1506 W Saint Joseph St,
Perryville, MO 63775-1504
Ph: (573) 517-7900 | Mallory Fahnestock, DPT
1506 W Saint Joseph St,
Perryville, MO 63775-1504
Ph: (573) 517-7900 |
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