Mallory Boyle, CRNP, RN in Philadelphia, PA - Medicare Nurse Practitioner

Mallory Boyle, CRNP, RN is a medicare enrolled "Nurse Practitioner - Family" in Philadelphia, Pennsylvania. Her current practice location is 822 Pine St, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (267) 519-0154.

Mallory Boyle is licensed to practice in Pennsylvania (license number SP027836) 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 1669187902.

Contact Information

	Mallory Boyle, CRNP, RN
	822 Pine St, Philadelphia, PA 19107-6187
	(267) 519-0154
	Not Available

Map and Direction

Provider's Profile

Full Name	Mallory Boyle
Gender	Female
Speciality	Nurse Practitioner - Family
Location	822 Pine St, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669187902
Provider Enumeration Date: 01/20/2023
Last Update Date: 07/18/2023

Medicare PECOS Information:

PECOS PAC ID: 6002270063
Enrollment ID: I20230911001814

Medical Identifiers

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

Identifier	Type	State	Issuer
1669187902	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	26NR22832300 (New Jersey)	Secondary
163W00000X	Registered Nurse	RN685967 (Pennsylvania)	Secondary
363LF0000X	Nurse Practitioner - Family	SP027836 (Pennsylvania)	Primary
363LF0000X	Nurse Practitioner - Family	26NJ01457800 (New Jersey)	Secondary

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 Boyle allows following entities to bill medicare on her behalf.

Entity Name	Schweiger Dermatology Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104229392 PECOS PAC ID: 0143442806 Enrollment ID: O20141112002172

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 Boyle 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 Boyle, CRNP, RN 9 Virginia Ave, Haddon Township, NJ 08108-2316 Ph: (856) 904-9753	Mallory Boyle, CRNP, RN 822 Pine St, Philadelphia, PA 19107-6187 Ph: (267) 519-0154

Reviews and Comments

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Mallory Boyle, CRNP, RN - Medicare Nurse Practitioner in Philadelphia, PA