Matthew Layne Mallory, MD in Fayetteville, AR

Matthew Layne Mallory, MD is a medicare enrolled "Radiology - Radiation Oncology" physician in Fayetteville, Arkansas. He went to University Of Virginia School Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Radiation Oncology. He is a member of the group practice Golden Valley Memorial Hospital District and his current practice location is 60 E Monte Painter Dr, Fayetteville, Arkansas. You can reach out to his office (for appointments etc.) via phone at (479) 587-1700.

Matthew Layne Mallory is licensed to practice in Arkansas (license number E-14474) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1194145532.

Contact Information

	Matthew Layne Mallory, MD
	60 E Monte Painter Dr, Fayetteville, AR 72703-4014
	(479) 587-1700
	(479) 587-1366

Map and Direction

Physician's Profile

Full Name	Matthew Layne Mallory
Gender	Male
Speciality	Radiation Oncology
Experience	10 Years
Location	60 E Monte Painter Dr, Fayetteville, Arkansas
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Matthew Layne Mallory attended and graduated from University Of Virginia School Of Medicine in 2014

NPI Data:

NPI Number: 1194145532
Provider Enumeration Date: 04/24/2014
Last Update Date: 10/08/2024

Medicare PECOS Information:

PECOS PAC ID: 1153546080
Enrollment ID: I20191112002474

Medical Identifiers

Medical identifiers for Matthew Layne Mallory such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194145532	NPI	-	NPPES
200993230A	Medicaid	OK
269386001	Medicaid	AR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0001X	Radiology - Radiation Oncology	0442072 (Kansas)	Secondary
2085R0001X	Radiology - Radiation Oncology	2019024443 (Missouri)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
2085R0001X	Radiology - Radiation Oncology	E-14474 (Arkansas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Golden Valley Memorial Hospital	Clinton, MO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Golden Valley Memorial Hospital District	4688561814	85

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. Matthew Layne Mallory allows following entities to bill medicare on his behalf.

Entity Name	Golden Valley Memorial Hospital District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003873266 PECOS PAC ID: 4688561814 Enrollment ID: O20040407001299

Entity Name	University Of Kansas Hospital Authority
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528019502 PECOS PAC ID: 9436054798 Enrollment ID: O20110607000604

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. Matthew Layne 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
Matthew Layne Mallory, MD 222 E Dunbar Ln Apt 326, Fayetteville, AR 72703-3276 Ph: (434) 258-4408	Matthew Layne Mallory, MD 60 E Monte Painter Dr, Fayetteville, AR 72703-4014 Ph: (479) 587-1700

Reviews and Comments

Radiology Doctors in Fayetteville, AR

Dr. Fredrik J Balldin, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3215 N. North Hills Blvd, Fayetteville, AR 72703 Phone: 479-463-7102 Fax: 479-463-7864
Jarret Sanders, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3215 N Northhills Blvd, Fayetteville, AR 72703 Phone: 479-968-7930 Fax: 479-968-4331
Dr. Theodore N. Hronas, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3344 N Futrall Dr, Fayetteville, AR 72703 Phone: 479-521-8200 Fax: 479-582-7310
Dr. Whitney Sipe, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 55 W Sunbridge Dr, Fayetteville, AR 72703 Phone: 479-442-6266 Fax: 479-521-3877
Dr. Vanessa Hardin Branch, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3344 N Futrall Dr, Fayetteville, AR 72703 Phone: 479-443-5316 Fax: 479-582-7389
Edward Wrenn Wooten, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3344 N Futrall Dr, Fayetteville, AR 72703 Phone: 479-443-5316
Dr. Christopher M Mcclinton, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 60 E Monte Painter Dr, Fayetteville, AR 72703 Phone: 479-695-4234

Matthew Layne Mallory, MD - Medicare Radiation Oncology in Fayetteville, AR