Ms Mallory Michelle Light, CRNA - Medicare Nurse Anesthetist, Certified Registered in Mattoon, IL

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Ms Mallory Michelle Light, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Mattoon, Illinois. Her current practice location is 1000 Health Center Dr, Mattoon, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 258-2440.

Ms Mallory Michelle Light is licensed to practice in Illinois (license number 209-026738) 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 1093385072.

Contact Information

Ms Mallory Michelle Light, CRNA
1000 Health Center Dr,
Mattoon, IL 61938-4644
(217) 258-2440
(217) 258-2186

Map and Direction




Provider's Profile

Full NameMs Mallory Michelle Light
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location1000 Health Center Dr, Mattoon, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1093385072
  • Provider Enumeration Date: 06/30/2021
  • Last Update Date: 02/20/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1355713082
  • Enrollment ID: I20230207000860

Medical Identifiers

Medical identifiers for Ms Mallory Michelle Light such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093385072NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 209-026738 (Illinois)Primary
367500000XNurse Anesthetist, Certified Registered 2023001550 (Missouri)Secondary

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. Ms Mallory Michelle Light allows following entities to bill medicare on her behalf.
Entity NameWashington University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528005642
PECOS PAC ID: 9830008770
Enrollment ID: O20031118001093

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. Ms Mallory Michelle Light 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
Ms Mallory Michelle Light, CRNA
1005 Health Center Dr Ste 201,
Mattoon, IL 61938-4653

Ph: () -		Ms Mallory Michelle Light, CRNA
1000 Health Center Dr,
Mattoon, IL 61938-4644

Ph: (217) 258-2440

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Mattoon, IL

Vincent P Cagungun, RN
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Health Center Dr, Mattoon, IL 61938
Phone: 217-258-4006    
Erin M. Hein, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Health Center Dr, Mattoon, IL 61938
Phone: 217-258-2440    Fax: 217-258-2186
Tara L Crews, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Health Center Dr, Mattoon, IL 61938
Phone: 217-258-2440    
Allyson Anderson, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Health Center Dr Ste 201, Mattoon, IL 61938
Phone: 217-258-2525    
Nicholas Halford, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Health Center Dr, Mattoon, IL 61938
Phone: 217-258-2440    Fax: 217-258-2186
Marshall Ashby, C.R.N.A.
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Health Center Dr, Mattoon, IL 61938
Phone: 217-258-2440    

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.