Ms Mallory Paige Portz, in Birmingham, AL - Medicare Nurse Practitioner

Ms Mallory Paige Portz, is a medicare enrolled "Nurse Practitioner - Acute Care" in Birmingham, Alabama. Her current practice location is 1802 6th Ave S, Birmingham, Alabama. You can reach out to her office (for appointments etc.) via phone at (205) 975-7766.

Ms Mallory Paige Portz is licensed to practice in Alabama (license number 1-168978) 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 1083291751.

Contact Information

	Ms Mallory Paige Portz,
	1802 6th Ave S, Birmingham, AL 35233-1932
	(205) 975-7766
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Mallory Paige Portz
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	1802 6th Ave S, Birmingham, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083291751
Provider Enumeration Date: 03/26/2021
Last Update Date: 11/21/2022

Medicare PECOS Information:

PECOS PAC ID: 2961870845
Enrollment ID: I20221128000606

Medical Identifiers

Medical identifiers for Ms Mallory Paige Portz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083291751	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	1-168978 (Alabama)	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. Ms Mallory Paige Portz allows following entities to bill medicare on her behalf.

Entity Name	University Of Alabama Health Services Foundation, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093768723 PECOS PAC ID: 1951213107 Enrollment ID: O20031105000261

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 Paige Portz 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
Ms Mallory Paige Portz, Po Box 55310, Birmingham, AL 35255-5310 Ph: () -	Ms Mallory Paige Portz, 1802 6th Ave S, Birmingham, AL 35233-1932 Ph: (205) 975-7766

Reviews and Comments

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Ms Mallory Paige Portz, - Medicare Nurse Practitioner in Birmingham, AL