Mallory Anne Smallze, in Fair Lawn, NJ - Medicare Nurse Practitioner

Mallory Anne Smallze, is a medicare enrolled "Nurse Practitioner" in Fair Lawn, New Jersey. Her current practice location is 22-18 Broadway, Fair Lawn, New Jersey. You can reach out to her office (for appointments etc.) via phone at (201) 414-9840.

Mallory Anne Smallze is licensed to practice in New Jersey (license number 26NJ01325700) 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 1053045203.

Contact Information

	Mallory Anne Smallze,
	22-18 Broadway, Fair Lawn, NJ 07410-3016
	(201) 414-9840
	Not Available

Map and Direction

Provider's Profile

Full Name	Mallory Anne Smallze
Gender	Female
Speciality	Nurse Practitioner
Location	22-18 Broadway, Fair Lawn, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053045203
Provider Enumeration Date: 07/13/2022
Last Update Date: 07/13/2022

Medicare PECOS Information:

PECOS PAC ID: 5991189698
Enrollment ID: I20220830001465

Medical Identifiers

Medical identifiers for Mallory Anne Smallze such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053045203	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	26NJ01325700 (New Jersey)	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. Mallory Anne Smallze allows following entities to bill medicare on her behalf.

Entity Name	Medical Associates Of Englewood Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952681918 PECOS PAC ID: 1355512252 Enrollment ID: O20110927000020

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. Mallory Anne Smallze 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
Mallory Anne Smallze, 13 Dorothy Ave, Rochelle Park, NJ 07662-3303 Ph: (201) 421-7757	Mallory Anne Smallze, 22-18 Broadway, Fair Lawn, NJ 07410-3016 Ph: (201) 414-9840

Reviews and Comments

Nurse Practitioner Nurses in Fair Lawn, NJ

Mrs. Nancy P Gallagher, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22-18 Broadway, Suite 102, Fair Lawn, NJ 07410 Phone: 973-256-5557 Fax: 973-256-5036
Nichole Larysz, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5-15 Hartley Pl, Fair Lawn, NJ 07410 Phone: 551-795-6223
Meredith Claire Lubas, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 22-18 Broadway, Fair Lawn, NJ 07410 Phone: 201-475-5050
Maria Jidriska Myers, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 23-00 Nj-208, Fair Lawn, NJ 07410 Phone: 973-200-7380
Ms. Catherine Carlton, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22-18 Broadway, Suite 201, Fair Lawn, NJ 07410 Phone: 201-475-2050 Fax: 201-475-5522
Mrs. Nicole Hernandez, MSN, CPNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 23-00 Route 208 Ste 1-5, Fair Lawn, NJ 07410 Phone: 201-797-1900

Mallory Anne Smallze, - Medicare Nurse Practitioner in Fair Lawn, NJ