Mrs Mallory Ann Butler, FNP is a medicare enrolled "Nurse Practitioner - Family" in Red Bun, Illinois. Her current practice location is
325 Spring St, Red Bun, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 282-3831.
Mrs Mallory Ann Butler is licensed to practice in Illinois (license number 209014336) 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 1467803049.
Provider's Profile
Full Name | Mrs Mallory Ann Butler |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 325 Spring St, Red Bun, Illinois |
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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:
- Mrs Mallory Ann Butler attended and graduated from in
NPI Data:
- NPI Number: 1467803049
- Provider Enumeration Date: 06/24/2016
- Last Update Date: 06/29/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mrs Mallory Ann Butler such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1467803049 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 2016018336 (Missouri) | Secondary |
363LF0000X | Nurse Practitioner - Family | 209014336 (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. Mrs Mallory Ann Butler 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 |
Mrs Mallory Ann Butler, FNP 325 Spring St, Red Bun, IL 62278 Ph: (618) 282-3831 | Mrs Mallory Ann Butler, FNP 325 Spring St, Red Bun, IL 62278 Ph: (618) 282-3831 |
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