Mallory Christine Tassone, AGPCNP-BC in Raleigh, NC

Mallory Christine Tassone, AGPCNP-BC is a medicare enrolled "Nurse Practitioner" in Raleigh, North Carolina. Her current practice location is 4101 Macon Pond Rd, Raleigh, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 781-7070.

Mallory Christine Tassone is licensed to practice in North Carolina (license number 5015910) 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 1255088241.

Contact Information

	Mallory Christine Tassone, AGPCNP-BC
	4101 Macon Pond Rd, Raleigh, NC 27607-6319
	(919) 781-7070
	Not Available

Map and Direction

Provider's Profile

Full Name	Mallory Christine Tassone
Gender	Female
Speciality	Nurse Practitioner
Location	4101 Macon Pond Rd, Raleigh, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255088241
Provider Enumeration Date: 03/09/2022
Last Update Date: 04/04/2022

Medicare PECOS Information:

PECOS PAC ID: 1557745106
Enrollment ID: I20220830004326

Medical Identifiers

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

Identifier	Type	State	Issuer
1255088241	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WX0200X	Registered Nurse - Oncology	307222 (North Carolina)	Secondary
363L00000X	Nurse Practitioner	5015910 (North Carolina)	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 Christine Tassone allows following entities to bill medicare on her behalf.

Entity Name	Duke University Health System Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376574798 PECOS PAC ID: 2567372345 Enrollment ID: O20031126000274

Entity Name	Private Diagnostic Clinic Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457389033 PECOS PAC ID: 1355254368 Enrollment ID: O20031204000577

Entity Name	Duke Health Integrated Practice Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205553369 PECOS PAC ID: 8325412737 Enrollment ID: O20230327002247

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 Christine Tassone 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 Christine Tassone, AGPCNP-BC 62 Saddlebrook Dr, Fuquay Varina, NC 27526-5076 Ph: (860) 912-5640	Mallory Christine Tassone, AGPCNP-BC 4101 Macon Pond Rd, Raleigh, NC 27607-6319 Ph: (919) 781-7070

Reviews and Comments

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Mallory Christine Tassone, AGPCNP-BC - Medicare Nurse Practitioner in Raleigh, NC