Ms Mallory Sellars Belcher, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Whigham, Georgia. Her current practice location is
310 Whigham Rd, Whigham, Georgia. You can reach out to her office (for appointments etc.) via phone at
(229) 378-4641.
Ms Mallory Sellars Belcher is licensed to practice in Georgia (license number F05211005) 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 1548958622.
Provider's Profile
Full Name | Ms Mallory Sellars Belcher |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 310 Whigham Rd, Whigham, Georgia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1548958622
- Provider Enumeration Date: 04/27/2023
- Last Update Date: 04/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 2860933959
- Enrollment ID: I20240917000400
Medical Identifiers
Medical identifiers for Ms Mallory Sellars Belcher such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548958622 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | F05211005 (Georgia) | 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 Sellars Belcher allows following entities to bill medicare on her behalf.
Entity Name | Physical Medicine Specialists, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1952343261 PECOS PAC ID: 1658335328 Enrollment ID: O20041113000028 |
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Entity Name | Emergency Medicine Services Of Fl Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1043917180 PECOS PAC ID: 8426413931 Enrollment ID: O20230504001881 |
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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 Sellars Belcher 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 Sellars Belcher, FNP-C 310 Whigham Rd, Whigham, GA 39897-2715 Ph: (229) 378-4641 | Ms Mallory Sellars Belcher, FNP-C 310 Whigham Rd, Whigham, GA 39897-2715 Ph: (229) 378-4641 |
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