Dr Mallory Beth Grant, DPT is a medicare enrolled "Specialist" provider in Bryant, Arkansas. Her current practice location is
3231 Main St, Suite 3, Bryant, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(501) 847-0500.
Dr Mallory Beth Grant is licensed to practice in Arkansas (license number PT 3737) 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 1659705663.
Healthcare Provider's Profile
| Full Name | Dr Mallory Beth Grant |
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| Gender | Female |
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| Speciality | Specialist |
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| Location | 3231 Main St, Bryant, Arkansas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1659705663
- Provider Enumeration Date: 08/27/2013
- Last Update Date: 06/30/2022
Medicare PECOS Information:
- PECOS PAC ID: 9739569674
- Enrollment ID: I20220708002136
Medical Identifiers
Medical identifiers for Dr Mallory Beth Grant such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659705663 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | PT3737 (Arkansas) | Secondary |
| 174400000X | Specialist | PT 3737 (Arkansas) | 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. Dr Mallory Beth Grant allows following entities to bill medicare on her behalf.
| Provider Name | Athletico Ltd |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1003563727
PECOS PAC ID: 4789602681
Enrollment ID: O20220818001013 |
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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. Dr Mallory Beth Grant 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 |
|---|
Dr Mallory Beth Grant, DPT
3231 Main St, Suite 3,
Bryant, AR 72022-9188
Ph: (501) 847-0500 | Dr Mallory Beth Grant, DPT
3231 Main St, Suite 3,
Bryant, AR 72022-9188
Ph: (501) 847-0500 |
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