Mallory Rae Vandevender, FNP-C in Flowood, MS

Mallory Rae Vandevender, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Flowood, Mississippi. She graduated from nursing school in 2021 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice River Oaks Management Company Llc and her current practice location is 4290 Lakeland Dr Ste A, Flowood, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 932-0083.

Mallory Rae Vandevender is licensed to practice in Mississippi (license number 905114) 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 1578218616.

Contact Information

	Mallory Rae Vandevender, FNP-C
	4290 Lakeland Dr Ste A, Flowood, MS 39232-9571
	(601) 932-0083
	Not Available

Map and Direction

Provider's Profile

Full Name	Mallory Rae Vandevender
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	4290 Lakeland Dr Ste A, Flowood, Mississippi
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 Rae Vandevender graduated from nursing school in 2021

NPI Data:

NPI Number: 1578218616
Provider Enumeration Date: 02/17/2022
Last Update Date: 02/17/2022

Medicare PECOS Information:

PECOS PAC ID: 5092192062
Enrollment ID: I20220512000567

Medical Identifiers

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

Identifier	Type	State	Issuer
1578218616	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	905114 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Merit Health River Oaks	Flowood, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
River Oaks Management Company Llc	0345233110	37

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 Rae Vandevender allows following entities to bill medicare on her behalf.

Entity Name	River Oaks Management Company Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922029040 PECOS PAC ID: 0345233110 Enrollment ID: O20040407000093

Entity Name	Flowood River Oaks Hma Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801128798 PECOS PAC ID: 5890825004 Enrollment ID: O20100615000668

Entity Name	Crossgates Hma Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639401524 PECOS PAC ID: 8628100427 Enrollment ID: O20100714000431

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 Rae Vandevender 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 Rae Vandevender, FNP-C 3000 Volley Campbell Rd, Terry, MS 39170-9057 Ph: (601) 201-0163	Mallory Rae Vandevender, FNP-C 4290 Lakeland Dr Ste A, Flowood, MS 39232-9571 Ph: (601) 932-0083

Reviews and Comments

Nurse Practitioner Nurses in Flowood, MS

Catherine Elizabeth Clingan, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1006 Treetops Blvd Ste 104, Flowood, MS 39232 Phone: 601-939-1808 Fax: 601-939-1808
Jordan Claire Smith, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2550 Flowood Dr Ste 300, Flowood, MS 39232 Phone: 601-420-0034
Dr. Tatum Lee Severino I, DNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 215 Katherine Dr Ste A, Flowood, MS 39232 Phone: 601-665-4162 Fax: 888-398-1151
Jane Denton Desper, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 104 Burney Dr, Flowood, MS 39232 Phone: 601-987-8200 Fax: 601-987-8211
Brittany Michelle Fitzgerald, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 104 Burney Dr, Flowood, MS 39232 Phone: 601-987-2000
Courtney Dannielle Murtagh, WHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2925 Layfair Dr, Flowood, MS 39232 Phone: 601-984-6740
Salina M Loggins, NP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 215 Katherine Dr, Flowood, MS 39232 Phone: 601-665-4162 Fax: 888-398-1151

Mallory Rae Vandevender, FNP-C - Medicare Nurse Practitioner in Flowood, MS