Ann Marie Mallory, APRN, FNP, PMHNP - Medicare Nurse Practitioner in Las Vegas, NV

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Ann Marie Mallory, APRN, FNP, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Las Vegas, Nevada. Her current practice location is 4270 S Decatur Blvd Ste B6, Las Vegas, Nevada. You can reach out to her office (for appointments etc.) via phone at (702) 485-2100.

Ann Marie Mallory is licensed to practice in Nevada (license number APRN001789) 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 1801203948.

Contact Information

Ann Marie Mallory, APRN, FNP, PMHNP
4270 S Decatur Blvd Ste B6,
Las Vegas, NV 89103-6802
(702) 485-2100
Not Available

Map and Direction




Provider's Profile

Full NameAnn Marie Mallory
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location4270 S Decatur Blvd Ste B6, Las Vegas, Nevada
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1801203948
  • Provider Enumeration Date: 07/21/2014
  • Last Update Date: 01/25/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1456641901
  • Enrollment ID: I20161115002083

Medical Identifiers

Medical identifiers for Ann Marie Mallory such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801203948NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN59162 (Nevada)Secondary
363L00000XNurse Practitioner APRN001789 (Nevada)Secondary
363LF0000XNurse Practitioner - Family APRN001789 (Nevada)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health APRN001789 (Nevada)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. Ann Marie Mallory allows following entities to bill medicare on her behalf.
Entity NameSouthwest Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659346005
PECOS PAC ID: 6103730544
Enrollment ID: O20031118001102
Entity NameAlliance Mental Health Specialists Suba Park Cheng Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275988107
PECOS PAC ID: 1153616693
Enrollment ID: O20160823003042
Entity NameMedtrans Behavioral Nevada Casal Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245781160
PECOS PAC ID: 7810259165
Enrollment ID: O20180326001159
Entity NameMedtrans Medical Nevada Casal Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750846549
PECOS PAC ID: 1850632365
Enrollment ID: O20190410002272

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. Ann Marie 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
Ann Marie Mallory, APRN, FNP, PMHNP
4270 S Decatur Blvd Ste B6,
Las Vegas, NV 89103-6802

Ph: (702) 485-2100		Ann Marie Mallory, APRN, FNP, PMHNP
4270 S Decatur Blvd Ste B6,
Las Vegas, NV 89103-6802

Ph: (702) 485-2100

Reviews and Comments


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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.