Mallory R Waltrip, APRN in Springfield, IL - Medicare Nurse Practitioner

Mallory R Waltrip, APRN is a medicare enrolled "Nurse Practitioner - Adult Health" in Springfield, Illinois. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Springfield Clinic Llp and her current practice location is 900 N 1st St, Springfield, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 528-7541.

Mallory R Waltrip is licensed to practice in Illinois (license number 209015762) 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 1780125278.

Contact Information

	Mallory R Waltrip, APRN
	900 N 1st St, Springfield, IL 62702-3749
	(217) 528-7541
	Not Available

Map and Direction

Provider's Profile

Full Name	Mallory R Waltrip
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	900 N 1st St, Springfield, Illinois
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 R Waltrip graduated from nursing school in 2016

NPI Data:

NPI Number: 1780125278
Provider Enumeration Date: 03/16/2017
Last Update Date: 01/19/2024

Medicare PECOS Information:

PECOS PAC ID: 0042596116
Enrollment ID: I20170404002844

Medical Identifiers

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

Identifier	Type	State	Issuer
1780125278	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	209015762 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Francis Hospital	Litchfield, IL	Hospital
St Johns Hospital	Springfield, IL	Hospital
Abraham Lincoln Memorial Hospital	Lincoln, IL	Hospital
Memorial Medical Center	Springfield, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Springfield Clinic Llp	0547166076	673

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 R Waltrip allows following entities to bill medicare on her behalf.

Entity Name	Springfield Clinic Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215974415 PECOS PAC ID: 0547166076 Enrollment ID: O20031208000403

Entity Name	St Francis Hospital Sisters Of The Third Order Of St Francis
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326057076 PECOS PAC ID: 5890686562 Enrollment ID: O20040323000066

Entity Name	Springfield Clinic Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780638478 PECOS PAC ID: 0547166076 Enrollment ID: O20040331000826

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 R Waltrip 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 R Waltrip, APRN 1025 S 6th St, Springfield, IL 62703-2403 Ph: (217) 528-7541	Mallory R Waltrip, APRN 900 N 1st St, Springfield, IL 62702-3749 Ph: (217) 528-7541

Reviews and Comments

Nurse Practitioner Nurses in Springfield, IL

Alissa Danielle Smith, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3132 Old Jacksonville Rd, Suite 200, Springfield, IL 62704 Phone: 217-862-0800
Lindsey Ostermeier, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3220 Atlanta St, Springfield, IL 62707 Phone: 217-588-7400
Jeremy Elliott, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1025 S 6th St, Springfield, IL 62703 Phone: 217-528-7541
Jessica L Lee, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 350 W Carpenter St, Springfield, IL 62702 Phone: 217-528-7541 Fax: 217-528-7144
Mr. Jay Benoit, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 747 N Rutledge St Fl 5, Springfield, IL 62702 Phone: 217-545-8000
Rebecca L Saunders, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 301 N 8th St, Pav 4b, Springfield, IL 62701 Phone: 217-545-7500 Fax: 217-545-7305
Melanie R Reynolds, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3132 Old Jacksonville Rd, Suite 200, Springfield, IL 62704 Phone: 217-862-0730 Fax: 217-862-0822

Mallory R Waltrip, APRN - Medicare Nurse Practitioner in Springfield, IL