Maria D Mallory, MD - Medicare General Surgery in Saint Cloud, MN

  1. Home
  2. Surgery
  3. MN
  4. Saint Cloud
Maria D Mallory, MD is a medicare enrolled "Surgery" physician in Saint Cloud, Minnesota. She graduated from medical school in 2000 and has 24 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Centracare Clinic, St Cloud Hospital and her current practice location is 1200 6th Ave N, Saint Cloud, Minnesota. You can reach out to her office (for appointments etc.) via phone at (320) 252-5131.

Maria D Mallory is licensed to practice in Minnesota (license number 47718) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1689664344.

Contact Information

Maria D Mallory, MD
1200 6th Ave N,
Saint Cloud, MN 56303-2735
(320) 252-5131
(320) 240-2118

Map and Direction




Physician's Profile

Full NameMaria D Mallory
GenderFemale
SpecialityGeneral Surgery
Experience24 Years
Location1200 6th Ave N, Saint Cloud, Minnesota
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Maria D Mallory graduated from medical school in 2000
  NPI Data:
  • NPI Number: 1689664344
  • Provider Enumeration Date: 10/25/2005
  • Last Update Date: 11/28/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 8628008109
  • Enrollment ID: I20050815000536

Medical Identifiers

Medical identifiers for Maria D Mallory such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689664344NPI-NPPES
1043623OtherPREFERRED ONE
HP52031OtherHEALTH PARTNERS
1701414OtherMEDICA HEALTH PLANS
346G4MAOtherBLUE CROSS BLUE SHIELD
132828OtherU CARE
2357287OtherARAZ GROUP AMERICAS PPO
6D053CEOtherBLUE CROSS BLUE SHIELD
754479100OtherMEDICAL ASSISTANCE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 47718 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Cloud HospitalSaint cloud, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Centracare Clinic2466363395632
St Cloud Hospital4880594779187

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. Maria D Mallory allows following entities to bill medicare on her behalf.
Entity NameCentracare Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043212665
PECOS PAC ID: 2466363395
Enrollment ID: O20031105000293
Entity NameCentracare Health System - Melrose
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720045073
PECOS PAC ID: 1658270368
Enrollment ID: O20031231000690
Entity NameCentracare Health System - Long Prairie
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164471678
PECOS PAC ID: 3870524598
Enrollment ID: O20050823000460
Entity NameCentracare Health System - Melrose
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1720045073
PECOS PAC ID: 1658270368
Enrollment ID: O20060504000839
Entity NameCentracare Health System - Long Prairie
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1164471678
PECOS PAC ID: 3870524598
Enrollment ID: O20061104000579
Entity NameSt Cloud Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043269798
PECOS PAC ID: 4880594779
Enrollment ID: O20110221000134
Entity NameCentracare Health System - Sauk Centre
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578813762
PECOS PAC ID: 4981857216
Enrollment ID: O20130116000380
Entity NameCentracare Health System-nr Llc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1275872772
PECOS PAC ID: 3870739410
Enrollment ID: O20130426000215
Entity NameCentracare Health System-nr Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558600874
PECOS PAC ID: 3870739410
Enrollment ID: O20130515000683
Entity NameCentracare Health-paynesville Llc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1205269941
PECOS PAC ID: 1153555719
Enrollment ID: O20131108000012
Entity NameCentracare Health System - Sauk Centre
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1740553932
PECOS PAC ID: 4981857216
Enrollment ID: O20140523001292
Entity NameCentracare Health-paynesville Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629402516
PECOS PAC ID: 1153555719
Enrollment ID: O20140909002390

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. Maria D Mallory 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 AddressPractice Location Address
Maria D Mallory, MD
1200 6th Ave N,
Saint Cloud, MN 56303-2735

Ph: (320) 252-5131		Maria D Mallory, MD
1200 6th Ave N,
Saint Cloud, MN 56303-2735

Ph: (320) 252-5131

Reviews and Comments


Surgery Doctors in Saint Cloud, MN

Mark Engelsgjerd, M.D.
Surgery
Medicare: Medicare Enrolled
Practice Location: 251 County Rd 120, Saint Cloud, MN 56303
Phone: 320-202-8949    Fax: 320-202-0756
Dr. Elizabeth Ann Tacl, M.D.
Surgery
Medicare: May Accept Medicare Assignments
Practice Location: 1200 6th Ave N, Saint Cloud, MN 56303
Phone: 320-252-5131    
Dr. Liana M. Lugo, M.D.
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 3701 12th St N, Suite 100, Saint Cloud, MN 56303
Phone: 320-253-7257    
Arnes Huskic, M.D.
Surgery
Medicare: Medicare Enrolled
Practice Location: 4801 Veterans Dr, Saint Cloud, MN 56303
Phone: 320-252-1670    
James L Jost, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 1200 6th Ave N, Saint Cloud, MN 56303
Phone: 320-252-5131    Fax: 320-240-2118
Robert Shapiro, M.D.
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 251 County Rd 120, Saint Cloud, MN 56303
Phone: 320-202-8949    Fax: 320-202-0756
Stephen J Sahlstrom, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 1200 6th Ave N, Saint Cloud, MN 56303
Phone: 320-252-5131    Fax: 320-240-2118

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.