Mallory Sullivan, DO is a medicare enrolled "Family Medicine" physician in Waterville, New York. She went to New York College Of Osteo Medicine Of New York Institute Of Technology and graduated in 2011 and has 14 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Mvhs Inc and her current practice location is
117 W Main St, Suite 1, Waterville, New York. You can reach out to her office (for appointments etc.) via phone at
(315) 841-4178.
Mallory Sullivan is licensed to practice in New York (license number 274601) 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 1124311360.
Physician's Profile
Full Name | Mallory Sullivan |
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Gender | Female |
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Speciality | Family Practice |
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Experience | 14 Years |
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Location | 117 W Main St, Waterville, New York |
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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. |
Medical Education and Training:
- Mallory Sullivan attended and graduated from New York College Of Osteo Medicine Of New York Institute Of Technology in 2011
NPI Data:
- NPI Number: 1124311360
- Provider Enumeration Date: 05/20/2011
- Last Update Date: 03/20/2017
Medicare PECOS Information:
- PECOS PAC ID: 5395989073
- Enrollment ID: I20140731001674
Medical Identifiers
Medical identifiers for Mallory Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124311360 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 274601 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Mvhs Inc | 2769380252 | 296 |
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 Sullivan allows following entities to bill medicare on her behalf.
Entity Name | Mvhs Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1770690737 PECOS PAC ID: 2769380252 Enrollment ID: O20031222000433 |
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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 Sullivan 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 Sullivan, DO 117 W Main St, Suite 1, Waterville, NY 13480-1165 Ph: (315) 841-4178 | Mallory Sullivan, DO 117 W Main St, Suite 1, Waterville, NY 13480-1165 Ph: (315) 841-4178 |
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