Mrs Mallory Gibbons, NP in Worcester, MA - Medicare Nurse Practitioner

Mrs Mallory Gibbons, NP is a medicare enrolled "Nurse Practitioner - Acute Care" in Worcester, Massachusetts. 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 Vascular Care Group Llc and her current practice location is 21 Eastern Ave, Worcester, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (508) 556-0223.

Mrs Mallory Gibbons is licensed to practice in Massachusetts (license number RN2269601) 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 1083150361.

Contact Information

	Mrs Mallory Gibbons, NP
	21 Eastern Ave, Worcester, MA 01605-3094
	(508) 556-0223
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Mallory Gibbons
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	21 Eastern Ave, Worcester, Massachusetts
Accepts Medicare Assignments	May 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 Gibbons graduated from nursing school in 2016

NPI Data:

NPI Number: 1083150361
Provider Enumeration Date: 01/11/2017
Last Update Date: 04/19/2022

Medicare PECOS Information:

PECOS PAC ID: 9032494521
Enrollment ID: I20170324000139

Medical Identifiers

Medical identifiers for Mrs Mallory Gibbons such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083150361	NPI	-	NPPES
110121244A	Medicaid	MA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	RN2269601 (Massachusetts)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	RN2269601 (Massachusetts)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Umass Memorial Medical Center/university Campus	Worcester, MA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Vascular Care Group Llc	2769871078	22

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 Gibbons allows following entities to bill medicare on her behalf.

Entity Name	Umass Memorial Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689760092 PECOS PAC ID: 6204745904 Enrollment ID: O20031126000444

Entity Name	Umass Memorial Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760445373 PECOS PAC ID: 4284539891 Enrollment ID: O20040113000267

Entity Name	Vascular Care Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538775481 PECOS PAC ID: 2769871078 Enrollment ID: O20211108001176

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 Gibbons 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
Mrs Mallory Gibbons, NP 21 Eastern Ave, Worcester, MA 01605-3094 Ph: (508) 556-0223	Mrs Mallory Gibbons, NP 21 Eastern Ave, Worcester, MA 01605-3094 Ph: (508) 556-0223

Reviews and Comments

Nurse Practitioner Nurses in Worcester, MA

Ms. Eileen A. Duhamel, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 55 Lake Ave N, Department Of Radiology, Worcester, MA 01655 Phone: 508-334-2710
Erin Marie Bednarek, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 33 Kendall St, Worcester, MA 01605 Phone: 508-334-6255 Fax: 508-334-6063
Natalia Alexandrovna Kottler, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26 Queen Street, Worcester, MA 01610 Phone: 508-860-7800
Kristen M Derosa, NNP-BC, ACNPC-AG Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 416 Belmont St, Worcester, MA 01604 Phone: 508-756-6609
Dr. Laura Marie Knight, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 774-442-2761
Ms. Colette Julia O'connor, ACNPC-AG Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 774-443-7552
Sandra Bellini, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 119 Belmont St, Worcester, MA 01605 Phone: 508-334-6470

Mrs Mallory Gibbons, NP - Medicare Nurse Practitioner in Worcester, MA