Mallory Lynne Smith, AGACNP-BC in Louisville, KY

Mallory Lynne Smith, AGACNP-BC is a medicare enrolled "Nurse Practitioner - Adult Health" in Louisville, Kentucky. Her current practice location is 3900 Kresge Way Ste 42, Louisville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (502) 899-3858.

Mallory Lynne Smith is licensed to practice in Kentucky (license number 4018626) 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 1609334630.

Contact Information

	Mallory Lynne Smith, AGACNP-BC
	3900 Kresge Way Ste 42, Louisville, KY 40207-4681
	(502) 899-3858
	(502) 899-3878

Map and Direction

Provider's Profile

Full Name	Mallory Lynne Smith
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	3900 Kresge Way Ste 42, Louisville, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609334630
Provider Enumeration Date: 03/08/2019
Last Update Date: 09/17/2024

Medicare PECOS Information:

PECOS PAC ID: 8224450077
Enrollment ID: I20200624000474

Medical Identifiers

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

Identifier	Type	State	Issuer
1609334630	NPI	-	NPPES
7100983120	Medicaid	KY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	4018626 (Kentucky)	Primary
363LA2200X	Nurse Practitioner - Adult Health	AP140939 (Texas)	Secondary
363LC0200X	Nurse Practitioner - Critical Care Medicine	95014580 (California)	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 Lynne Smith allows following entities to bill medicare on her behalf.

Entity Name	University Of California San Francisco
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861578973 PECOS PAC ID: 4486567229 Enrollment ID: O20031212000897

Entity Name	University Anesthesia Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528137296 PECOS PAC ID: 2769370535 Enrollment ID: O20040304001219

Entity Name	Ucsf Medical Group Business Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477624104 PECOS PAC ID: 3779497870 Enrollment ID: O20040622001513

Entity Name	Clarkian Medical
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871103317 PECOS PAC ID: 5496161119 Enrollment ID: O20210304000373

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 Lynne Smith 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 Lynne Smith, AGACNP-BC 1901 Campus Pl, Louisville, KY 40299-2308 Ph: (502) 253-4924	Mallory Lynne Smith, AGACNP-BC 3900 Kresge Way Ste 42, Louisville, KY 40207-4681 Ph: (502) 899-3858

Reviews and Comments

Nurse Practitioner Nurses in Louisville, KY

Jacob William Harvey Jr., APRN-FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 516 W Breckinridge St, Louisville, KY 40203 Phone: 502-648-7909
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Aimee Christine Mihalyov, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 400 E Gray St, Louisville, KY 40202 Phone: 502-574-6617 Fax: 502-574-8666
Amanda Danielle Saccone, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1930 Bishop Ln Fl 12, Louisville, KY 40218 Phone: 502-272-5220 Fax: 502-272-5117
Celaida Lezcano, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 234 E Gray St Ste 670, Louisville, KY 40202 Phone: 502-629-4525 Fax: 502-629-4529
Victoria Jean Shipman, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 315 E Broadway Fl 4, Louisville, KY 40202 Phone: 502-629-2500

Mallory Lynne Smith, AGACNP-BC - Medicare Nurse Practitioner in Louisville, KY