Mallory Alice Vig, OTR - Medicare Occupational Therapist in Fosston, MN

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Mallory Alice Vig, OTR is a medicare enrolled "Occupational Therapist" provider in Fosston, Minnesota. Her current practice location is 103 W 1st St, Fosston, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 431-0009.

Mallory Alice Vig is licensed to practice in * (Not Available) (license number ) 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 1376033357.

Contact Information

Mallory Alice Vig, OTR
103 W 1st St,
Fosston, MN 56542
(218) 431-0009
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMallory Alice Vig
GenderFemale
SpecialityOccupational Therapist
Location103 W 1st St, Fosston, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1376033357
  • Provider Enumeration Date: 05/15/2018
  • Last Update Date: 12/18/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0143694737
  • Enrollment ID: I20230322001510

Medical Identifiers

Medical identifiers for Mallory Alice Vig such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376033357NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist (* (Not Available))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. Mallory Alice Vig allows following entities to bill medicare on her behalf.
Provider NamePine Peak Therapy Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1982477030
PECOS PAC ID: 8820447493
Enrollment ID: O20231207001962

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. Mallory Alice Vig 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
Mallory Alice Vig, OTR
45501 320th Ave Se,
Fosston, MN 56542-9237

Ph: (218) 431-0009		Mallory Alice Vig, OTR
103 W 1st St,
Fosston, MN 56542

Ph: (218) 431-0009

Reviews and Comments


Occupational Therapist in Fosston, MN

Jordyn M Himley,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 900 Hilligoss Blvd Se, Fosston, MN 56542
Phone: 218-435-1133    Fax: 218-435-1134

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.