Mary Nan Mallory, MD in Louisville, KY - Medicare Emergency Medicine

Mary Nan Mallory, MD is a medicare enrolled "Emergency Medicine" physician in Louisville, Kentucky. Her current practice location is 530 S Jackson St, Department Of Emergency Medicine C1h17, Louisville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (502) 852-5689.

Mary Nan Mallory is licensed to practice in Indiana (license number 01039542A) 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 1427143874.

Contact Information

	Mary Nan Mallory, MD
	530 S Jackson St, Department Of Emergency Medicine C1h17, Louisville, KY 40202-1675
	(502) 852-5689
	(502) 852-4701

Map and Direction

Physician's Profile

Full Name	Mary Nan Mallory
Gender	Female
Speciality	Emergency Medicine
Location	530 S Jackson St, Louisville, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427143874
Provider Enumeration Date: 10/03/2006
Last Update Date: 06/01/2015

Medicare PECOS Information:

PECOS PAC ID: 9931268067
Enrollment ID: I20100311000611

Medical Identifiers

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

Identifier	Type	State	Issuer
1427143874	NPI	-	NPPES
200011050	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	01039542A (Indiana)	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. Mary Nan Mallory allows following entities to bill medicare on her behalf.

Entity Name	University Of Louisville Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366722316 PECOS PAC ID: 3476725599 Enrollment ID: O20111017000036

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. Mary Nan 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 Address	Practice Location Address
Mary Nan Mallory, MD 530 S Jackson St, Department Of Emergency Medicine C1h17, Louisville, KY 40202-1675 Ph: (502) 852-5689	Mary Nan Mallory, MD 530 S Jackson St, Department Of Emergency Medicine C1h17, Louisville, KY 40202-1675 Ph: (502) 852-5689

Reviews and Comments

Emergency Medicine Doctors in Louisville, KY

Corey Warf, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1 Audubon Plaza Dr, Louisville, KY 40217 Phone: 502-636-7225
Anne Hayes, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4001 Dutchmans Ln, Louisville, KY 40207 Phone: 502-893-1000
Mrs. Melissa Sue Puffenbarger, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 231 E Chestnut St, Louisville, KY 40202 Phone: 502-629-6000 Fax: 502-852-8556
Tyler Loche, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 530 S Jackson St # C1h17, Louisville, KY 40202 Phone: 502-852-1273
Dr. Jared Stuart Bass, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4001 Dutchmans Ln, Louisville, KY 40207 Phone: 502-893-1000
Terry G Hensley, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 7926 Preston Hwy Ste 106, Louisville, KY 40219 Phone: 502-964-4357
Dr. Brett Allen Miller, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Audubon Plaza Dr, Louisville, KY 40217 Phone: 502-634-6767 Fax: 502-634-6775

Mary Nan Mallory, MD - Medicare Emergency Medicine in Louisville, KY