Caitlin Brook Mallory, FNP in Provo, UT - Medicare Nurse Practitioner

Caitlin Brook Mallory, FNP is a medicare enrolled "Nurse Practitioner - Family" in Provo, Utah. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Tnoh Enterprises, Straub Clinic And Hospital and her current practice location is 1055 N 500 W Bldg A, Provo, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 812-5033.

Caitlin Brook Mallory is licensed to practice in Utah (license number 7725435-4405) 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 1124509070.

Contact Information

	Caitlin Brook Mallory, FNP
	1055 N 500 W Bldg A, Provo, UT 84604-3305
	(801) 812-5033
	(801) 812-5034

Map and Direction

Provider's Profile

Full Name	Caitlin Brook Mallory
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	1055 N 500 W Bldg A, Provo, Utah
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:

Caitlin Brook Mallory graduated from nursing school in 2018

NPI Data:

NPI Number: 1124509070
Provider Enumeration Date: 08/28/2018
Last Update Date: 11/27/2023

Medicare PECOS Information:

PECOS PAC ID: 9133471675
Enrollment ID: I20210701001234

Medical Identifiers

Medical identifiers for Caitlin Brook Mallory such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124509070	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	7725435-4405 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Straub Clinic And Hospital	Honolulu, HI	Hospital
Wilcox Memorial Hospital	Lihue, HI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Tnoh Enterprises	4880064252	3
Straub Clinic And Hospital	6305759754	411

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. Caitlin Brook Mallory allows following entities to bill medicare on her behalf.

Entity Name	Straub Clinic & Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457306508 PECOS PAC ID: 6305759754 Enrollment ID: O20031111000417

Entity Name	Tnoh Enterprises
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043980410 PECOS PAC ID: 4880064252 Enrollment ID: O20221228003073

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. Caitlin Brook 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
Caitlin Brook Mallory, FNP 1055 N 500 W, Attn. Credentialing, Provo, UT 84604 Ph: (801) 354-8225	Caitlin Brook Mallory, FNP 1055 N 500 W Bldg A, Provo, UT 84604-3305 Ph: (801) 812-5033

Reviews and Comments

Nurse Practitioner Nurses in Provo, UT

Sharla Morgan, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1055 N 300 W Ste 303, Provo, UT 84604 Phone: 801-356-1300 Fax: 801-356-1304
Ashley Saunders, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1055 N 500 W Bldg A, Provo, UT 84604 Phone: 801-812-5033 Fax: 801-812-5034
Mr. Michael Frank Gibson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1355 North University Ave, Suite 210, Provo, UT 84604 Phone: 801-373-8930 Fax: 801-377-6811
Connie Denise Taylor, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 75 S 200 E, Ste 100, Provo, UT 84606 Phone: 801-877-5801 Fax: 801-877-5802
Jennifer Lynn Osborne, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W, Suite 101, Provo, UT 84604 Phone: 801-373-4366 Fax: 801-429-8191
Amber Elexis Marsh, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 395 W Cougar Blvd, Provo, UT 84604 Phone: 801-357-7850
Melissa Sue Guest, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 750 N Freedom Blvd, Provo, UT 84601 Phone: 801-373-4760

Caitlin Brook Mallory, FNP - Medicare Nurse Practitioner in Provo, UT