Mallory Iverson, APN - Medicare Nurse Practitioner in Wauconda, IL

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Mallory Iverson, APN is a medicare enrolled "Nurse Practitioner" in Wauconda, Illinois. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Family Medicine Specialists S.c., Family Medicine Specialists Of Round Lake Incorporated S C and her current practice location is 431 W Liberty St, Wauconda, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 526-2151.

Mallory Iverson is licensed to practice in Illinois (license number 209013043) 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 1366818692.

Contact Information

Mallory Iverson, APN
431 W Liberty St,
Wauconda, IL 60084-2452
(847) 526-2151
Not Available

Map and Direction




Provider's Profile

Full NameMallory Iverson
GenderFemale
SpecialityNurse Practitioner
Experience9 Years
Location431 W Liberty St, Wauconda, Illinois
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 Iverson graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1366818692
  • Provider Enumeration Date: 08/20/2015
  • Last Update Date: 08/20/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 4880904168
  • Enrollment ID: I20151117002365

Medical Identifiers

Medical identifiers for Mallory Iverson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366818692NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 209013043 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Advocate Condell Medical CenterLibertyville, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Family Medicine Specialists S.c.004220625226
Family Medicine Specialists Of Round Lake Incorporated S C600295751118

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 Iverson allows following entities to bill medicare on her behalf.
Entity NameFamily Medicine Specialists S.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063406601
PECOS PAC ID: 0042206252
Enrollment ID: O20040422001425
Entity NameFamily Medicine Specialists Of Round Lake Incorporated S C
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740515253
PECOS PAC ID: 6002957511
Enrollment ID: O20100106000383
Entity NameFamily Medicine Specialists Of Mount Prospect S C
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437389475
PECOS PAC ID: 8224166566
Enrollment ID: O20100507000184

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 Iverson 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 Iverson, APN
Po Box 6037,
Wauconda, IL 60084-6037

Ph: (847) 526-2151		Mallory Iverson, APN
431 W Liberty St,
Wauconda, IL 60084-2452

Ph: (847) 526-2151

Reviews and Comments


Nurse Practitioner Nurses in Wauconda, IL

Kristine M Redmond, APRN, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 431 W Liberty St, Wauconda, IL 60084
Phone: 847-526-2151    Fax: 847-526-2017
Ileana A Schropp, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 431 W Liberty St, Wauconda, IL 60084
Phone: 847-526-2151    Fax: 847-526-2017
Mrs. Karen Anne Fermin Violago, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 431 W Liberty St, Wauconda, IL 60084
Phone: 847-526-2151    Fax: 847-526-2017
Amy Bonfiglio, APN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 431 W Liberty St, Wauconda, IL 60084
Phone: 847-526-2151    Fax: 847-526-2017
Tabitha Gardner, APN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 431 W Liberty St, Wauconda, IL 60084
Phone: 847-526-2151    Fax: 847-526-2017
Corrie Mcmahon, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 431 W Liberty St, Wauconda, IL 60084
Phone: 847-526-2151    Fax: 847-526-2017
Michelle Delich, MSN, APRN, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 431 W Liberty St, Wauconda, IL 60084
Phone: 847-526-2151    Fax: 847-526-2017

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.