Cheyenne Michele Mallery, RN is a
Registered Nurse based in La Fayette, Illinois. Cheyenne Michele Mallery is licensed to practice in Illinois (license number 041436220) and her current practice location is
2359 State Route 17, La Fayette, Illinois. She can be reached at her office (for appointments etc.) via phone at
(309) 854-2579.
NPI number for Cheyenne Michele Mallery is 1962074245 and her current mailing address is 2359 State Route 17, La Fayette, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1962074245.
Provider's Profile
Full Name | Cheyenne Michele Mallery |
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Gender | Female |
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Speciality | Registered Nurse |
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Location | 2359 State Route 17, La Fayette, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1962074245
- Provider Enumeration Date: 07/15/2021
- Last Update Date: 07/15/2021
Medical Identifiers
Medical identifiers for Cheyenne Michele Mallery such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962074245 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 143858 (Iowa) | Secondary |
163W00000X | Registered Nurse | 1020215 (Texas) | Secondary |
163W00000X | Registered Nurse | 041436220 (Illinois) | Primary |
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. Cheyenne Michele Mallery is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Cheyenne Michele Mallery, RN 2359 State Route 17, La Fayette, IL 61449-9623 Ph: (309) 854-2579 | Cheyenne Michele Mallery, RN 2359 State Route 17, La Fayette, IL 61449-9623 Ph: (309) 854-2579 |
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