Dean Lawrence Mallory, in Goodyear, AZ - Medicare Optometrist Provider

Dean Lawrence Mallory, is a medicare enrolled "Optometrist" provider in Goodyear, Arizona. His current practice location is 2580 N Litchfield Rd, Goodyear, Arizona. You can reach out to his office (for appointments etc.) via phone at (623) 932-2020.

Dean Lawrence Mallory is licensed to practice in Arizona (license number OPT-002649) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1801517206.

Contact Information

	Dean Lawrence Mallory,
	2580 N Litchfield Rd, Goodyear, AZ 85395-2049
	(623) 932-2020
	(623) 932-2668

Map and Direction

Healthcare Provider's Profile

Full Name	Dean Lawrence Mallory
Gender	Male
Speciality	Optometrist
Location	2580 N Litchfield Rd, Goodyear, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801517206
Provider Enumeration Date: 09/06/2022
Last Update Date: 04/12/2024

Medicare PECOS Information:

PECOS PAC ID: 8820468424
Enrollment ID: I20221222001491

Medical Identifiers

Medical identifiers for Dean Lawrence Mallory such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801517206	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	OPT-002649 (Arizona)	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. Dean Lawrence Mallory allows following entities to bill medicare on his behalf.

Provider Name	Christopher T Furey Od Plc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1467658724 PECOS PAC ID: 6608773809 Enrollment ID: O20031216000643

Provider Name	Tom Sowash Od & Associates Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1174627202 PECOS PAC ID: 4284606088 Enrollment ID: O20040811001137

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. Dean Lawrence Mallory 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
Dean Lawrence Mallory, 2580 N Litchfield Rd, Goodyear, AZ 85395-2049 Ph: (623) 932-2020	Dean Lawrence Mallory, 2580 N Litchfield Rd, Goodyear, AZ 85395-2049 Ph: (623) 932-2020

Reviews and Comments

Optometrist in Goodyear, AZ

Dr. Anna L.o. Moore, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2580 N Litchfield Rd, Goodyear, AZ 85395 Phone: 623-932-2020 Fax: 623-932-2668
Dr. Michael Brayden Lundquist, OD, FAAO, FSLS Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2580 N Litchfield Rd, Goodyear, AZ 85395 Phone: 623-932-2020
Dr. Brent J Wilson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2580 N Litchfield Rd, Goodyear, AZ 85395 Phone: 623-932-2020 Fax: 623-932-2668
Dr. Elesha Rae Starkey, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2580 N Litchfield Rd, Goodyear, AZ 85395 Phone: 617-288-3230
Dr. Mary V Fisher, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1626 N Litchfield Rd Ste 110, Goodyear, AZ 85395 Phone: 602-955-1000 Fax: 602-508-4830
Dr. James Edward Mills, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 14009 W Mcdowell Rd, Goodyear, AZ 85395 Phone: 623-935-9784
Dr. Zakri Marcus Burns, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1100 N Estrella Pkwy, Goodyear, AZ 85338 Phone: 623-925-9971 Fax: 623-925-9982

Dean Lawrence Mallory, - Medicare Optometrist in Goodyear, AZ