Mrs Mallory Elyse Mowdy, NP-C - Medicare Nurse Practitioner in Brookhaven, MS

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Mrs Mallory Elyse Mowdy, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Brookhaven, Mississippi. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Extended Care Clinical Services Llc and her current practice location is 724 N Jackson St, Brookhaven, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 833-5255.

Mrs Mallory Elyse Mowdy is licensed to practice in Mississippi (license number R877141) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1427458553.

Contact Information

Mrs Mallory Elyse Mowdy, NP-C
724 N Jackson St,
Brookhaven, MS 39601-2460
(601) 833-5255
(601) 843-0252

Map and Direction




Provider's Profile

Full NameMrs Mallory Elyse Mowdy
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location724 N Jackson St, Brookhaven, Mississippi
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Mallory Elyse Mowdy graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1427458553
  • Provider Enumeration Date: 08/26/2014
  • Last Update Date: 01/23/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0547584104
  • Enrollment ID: I20150130001594

Medical Identifiers

Medical identifiers for Mrs Mallory Elyse Mowdy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427458553NPI-NPPES
02337065MedicaidMS
1427458553OtherMSBLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family R877141 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sta Home Health And HospiceClinton, MSHome health agency
King's Daughters Medical Center-brookhavenBrookhaven, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Extended Care Clinical Services Llc50921378444

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. Mrs Mallory Elyse Mowdy allows following entities to bill medicare on her behalf.
Entity NameFamily Health Care Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043236326
PECOS PAC ID: 5395656946
Enrollment ID: O20040831001179
Entity NamePremier Np Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063904977
PECOS PAC ID: 9638421910
Enrollment ID: O20190206001880
Entity NameProgressive Medical Management Of Batesville Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700349222
PECOS PAC ID: 0345583225
Enrollment ID: O20191114002265
Entity NameExtended Care Clinical Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134741945
PECOS PAC ID: 5092137844
Enrollment ID: O20200624000330

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. Mrs Mallory Elyse Mowdy 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
Mrs Mallory Elyse Mowdy, NP-C
724 N Jackson St,
Brookhaven, MS 39601-2460

Ph: (601) 833-5255		Mrs Mallory Elyse Mowdy, NP-C
724 N Jackson St,
Brookhaven, MS 39601-2460

Ph: (601) 833-5255

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).

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