Mrs Mallory Ann Butler, FNP is a medicare enrolled "Nurse Practitioner - Family" in Red Bun, Illinois. She graduated from nursing school in 2016 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Innovative Infusions Llc and 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 | Nurse Practitioner |
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| Experience | 9 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. |
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Medical Education and Training:
- Mrs Mallory Ann Butler graduated from nursing school in 2016
NPI Data:
- NPI Number: 1467803049
- Provider Enumeration Date: 06/24/2016
- Last Update Date: 06/29/2021
Medicare PECOS Information:
- PECOS PAC ID: 7416249214
- Enrollment ID: I20160715000277
Medical Identifiers
Medical identifiers for Mrs Mallory Ann Butler such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1467803049 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 2016018336 (Missouri) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 209014336 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Innovative Infusions Llc | 6608054044 | 89 |
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. Mrs Mallory Ann Butler allows following entities to bill medicare on her behalf.
| Entity Name | Innovative Infusions Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053034983
PECOS PAC ID: 6608054044
Enrollment ID: O20221011001133 |
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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 |
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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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