Mallory Starr Devore, CRNP in Port Matilda, PA

Mallory Starr Devore, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Port Matilda, Pennsylvania. Her current practice location is 132 Abigail Ln, Port Matilda, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (814) 272-7710.

Mallory Starr Devore is licensed to practice in Pennsylvania (license number SP027775) 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 1588340046.

Contact Information

	Mallory Starr Devore, CRNP
	132 Abigail Ln, Port Matilda, PA 16870-7153
	(814) 272-7710
	Not Available

Map and Direction

Provider's Profile

Full Name	Mallory Starr Devore
Gender	Female
Speciality	Nurse Practitioner - Family
Location	132 Abigail Ln, Port Matilda, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588340046
Provider Enumeration Date: 06/27/2023
Last Update Date: 06/27/2023

Medicare PECOS Information:

PECOS PAC ID: 0244691665
Enrollment ID: I20230802000692

Medical Identifiers

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

Identifier	Type	State	Issuer
1588340046	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	SP027775 (Pennsylvania)	Primary

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 Starr Devore allows following entities to bill medicare on her behalf.

Entity Name	Geisinger Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518

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 Starr Devore 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 Starr Devore, CRNP 42 High Meadow Ln, State College, PA 16803-1853 Ph: (804) 720-5361	Mallory Starr Devore, CRNP 132 Abigail Ln, Port Matilda, PA 16870-7153 Ph: (814) 272-7710

Reviews and Comments

Nurse Practitioner Nurses in Port Matilda, PA

Jody L Mchail, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 132 Abigail Ln, Port Matilda, PA 16870 Phone: 814-272-7100
Mrs. Joanna Martin Gunnett, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 132 Abigail Ln, Mail Stop 57-00, Port Matilda, PA 16870 Phone: 814-272-7100 Fax: 814-272-6509
Elissa R Rhed, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 132 Abigail Ln, Port Matilda, PA 16870 Phone: 814-272-7100 Fax: 814-272-6501
Sanga Jung, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 132 Abigail Ln, Port Matilda, PA 16870 Phone: 814-272-7100 Fax: 814-272-6501
Ashley Megan Enciso, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 132 Abigail Ln, Port Matilda, PA 16870 Phone: 800-230-4565
Matthew Hunter, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 132 Abigail Ln, Port Matilda, PA 16870 Phone: 814-272-7100 Fax: 814-272-6501

Mallory Starr Devore, CRNP - Medicare Nurse Practitioner in Port Matilda, PA