Mallory C Edwards, PA-C - Medicare Physician Assistant in Granville, NY

Mallory C Edwards, PA-C is a medicare enrolled "Physician Assistant" in Granville, New York. She graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Kaleida Health and her current practice location is 79 North St, Granville, New York. You can reach out to her office (for appointments etc.) via phone at (518) 642-0612.

Mallory C Edwards is licensed to practice in New York (license number 017372) 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 1467876409.

Contact Information

Mallory C Edwards, PA-C
79 North St,
Granville, NY 12832-1137
(518) 642-0612
Not Available

Map and Direction




Provider's Profile

Full NameMallory C Edwards
GenderFemale
SpecialityPhysician Assistant
Experience14 Years
Location79 North St, Granville, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mallory C Edwards graduated from nursing school in 2010
  NPI Data:
  • NPI Number: 1467876409
  • Provider Enumeration Date: 02/11/2014
  • Last Update Date: 04/22/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2961634282
  • Enrollment ID: I20140418000543

Medical Identifiers

Medical identifiers for Mallory C Edwards such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467876409NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 017372 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Kaleida HealthBuffalo, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kaleida Health7810805280160

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 C Edwards 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 AddressPractice Location Address
Mallory C Edwards, PA-C
79 North St,
Granville, NY 12832-1137

Ph: () -
Mallory C Edwards, PA-C
79 North St,
Granville, NY 12832-1137

Ph: (518) 642-0612

Reviews and Comments


Physician Assistant Nurses in Granville, NY

W Marvin Day, PA
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.