Mallory Quinn De Boom, PA - Medicare Physician Assistant in Memphis, TN

Mallory Quinn De Boom, PA is a medicare enrolled "Physician Assistant" in Memphis, Tennessee. She went to University Of Tennessee, Hsc, College Of Medicine and graduated in 2021 and has 3 years of diverse experience with area of expertise as Physician Assistant. Her current practice location is 1211 Union Ave Ste 495, Memphis, Tennessee. You can reach out to her office (for appointments etc.) via phone at (901) 507-6600.

Mallory Quinn De Boom is licensed to practice in Tennessee (license number 4931) 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 1801540646.

Contact Information

Mallory Quinn De Boom, PA
1211 Union Ave Ste 495,
Memphis, TN 38104-6656
(901) 507-6600
(901) 507-6599

Map and Direction




Provider's Profile

Full NameMallory Quinn De Boom
GenderFemale
SpecialityPhysician Assistant
Experience3 Years
Location1211 Union Ave Ste 495, Memphis, Tennessee
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 Quinn De Boom attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 2021
  NPI Data:
  • NPI Number: 1801540646
  • Provider Enumeration Date: 02/10/2022
  • Last Update Date: 03/29/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2567858368
  • Enrollment ID: I20220404001802

Medical Identifiers

Medical identifiers for Mallory Quinn De Boom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801540646NPI-NPPES
1191302OtherTNNCCPA CERTIFICATION

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical (Tennessee)Secondary
363A00000XPhysician Assistant 4931 (Tennessee)Primary

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 Quinn De Boom 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 Quinn De Boom, PA
Po Box 2044,
Memphis, TN 38101-2044

Ph: (901) 507-6600
Mallory Quinn De Boom, PA
1211 Union Ave Ste 495,
Memphis, TN 38104-6656

Ph: (901) 507-6600

Reviews and Comments


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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.