Mallory Puckett, CNP in Canton, OH - Medicare Nurse Practitioner

Mallory Puckett, CNP is a medicare enrolled "Nurse Practitioner - Family" in Canton, Ohio. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Total Medical Care and her current practice location is 1445 Harrison Ave Nw, Canton, Ohio. You can reach out to her office (for appointments etc.) via phone at (330) 956-5236.

Mallory Puckett is licensed to practice in Ohio (license number 022510) 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 1447753520.

Contact Information

	Mallory Puckett, CNP
	1445 Harrison Ave Nw, Canton, OH 44708-2620
	(330) 956-5236
	Not Available

Map and Direction

Provider's Profile

Full Name	Mallory Puckett
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	1445 Harrison Ave Nw, Canton, Ohio
Accepts Medicare Assignments	Yes. 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 Puckett graduated from nursing school in 2017

NPI Data:

NPI Number: 1447753520
Provider Enumeration Date: 03/14/2018
Last Update Date: 03/14/2018

Medicare PECOS Information:

PECOS PAC ID: 0547525305
Enrollment ID: I20180525000849

Medical Identifiers

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

Identifier	Type	State	Issuer
1447753520	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	022510 (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mercy Medical Center	Canton, OH	Hospital
Aultman Hospital	Canton, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Total Medical Care	8224283155	2

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 Puckett allows following entities to bill medicare on her behalf.

Entity Name	Total Medical Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649517046 PECOS PAC ID: 8224283155 Enrollment ID: O20130226000661

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 Puckett 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 Puckett, CNP 2718 Ridgewood Ave, Alliance, OH 44601-4810 Ph: (740) 381-2826	Mallory Puckett, CNP 1445 Harrison Ave Nw, Canton, OH 44708-2620 Ph: (330) 956-5236

Reviews and Comments

Nurse Practitioner Nurses in Canton, OH

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Taylor Meghan Moyer, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2600 Tuscarawas St W, Canton, OH 44708 Phone: 330-363-7444 Fax: 330-363-7770
Jaime Marie Rennecker, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2600 Sixth St Sw, Canton, OH 44710 Phone: 330-363-5433 Fax: 330-363-7785
Heather Baker, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2600 Sixth St Sw, Canton, OH 44710 Phone: 330-452-9911
Kenzie Miller, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2600 Tuscarawas St W, Canton, OH 44708 Phone: 330-363-9632

Mallory Puckett, CNP - Medicare Nurse Practitioner in Canton, OH