Mrs Mallory Rae Hogan, CNP in Sioux Falls, SD

Mrs Mallory Rae Hogan, CNP is a medicare enrolled "Nurse Practitioner" in Sioux Falls, South Dakota. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Heart Hospital Of South Dakota Llc and her current practice location is 4520 W 69th St, Sioux Falls, South Dakota. You can reach out to her office (for appointments etc.) via phone at (605) 977-5000.

Mrs Mallory Rae Hogan is licensed to practice in South Dakota (license number CP001457) 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 1487139374.

Contact Information

	Mrs Mallory Rae Hogan, CNP
	4520 W 69th St, Sioux Falls, SD 57108-8148
	(605) 977-5000
	(605) 977-5377

Map and Direction

Provider's Profile

Full Name	Mrs Mallory Rae Hogan
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	4520 W 69th St, Sioux Falls, South Dakota
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:

Mrs Mallory Rae Hogan graduated from nursing school in 2018

NPI Data:

NPI Number: 1487139374
Provider Enumeration Date: 09/26/2018
Last Update Date: 04/04/2024

Medicare PECOS Information:

PECOS PAC ID: 1557603982
Enrollment ID: I20190613002098

Medical Identifiers

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

Identifier	Type	State	Issuer
1487139374	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	CP001457 (South Dakota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Avera Heart Hospital Of South Dakota	Sioux falls, SD	Hospital
Orange City Area Health System	Orange city, IA	Hospital
Milbank Area Hospital/avera Health	Milbank, SD	Hospital
Avera Mckennan Hospital & University Health Center	Sioux falls, SD	Hospital
Lakes Regional Healthcare	Spirit lake, IA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Heart Hospital Of South Dakota Llc	5799777249	52

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 Rae Hogan allows following entities to bill medicare on her behalf.

Entity Name	Heart Hospital Of South Dakota Llc
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1407109705 PECOS PAC ID: 5799777249 Enrollment ID: O20121211000268

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 Rae Hogan 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 Rae Hogan, CNP 8805 W 18th St, Sioux Falls, SD 57106-7596 Ph: (056) 941-1240	Mrs Mallory Rae Hogan, CNP 4520 W 69th St, Sioux Falls, SD 57108-8148 Ph: (605) 977-5000

Reviews and Comments

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Mrs Mallory Rae Hogan, CNP - Medicare Nurse Practitioner in Sioux Falls, SD