Mallory Boackle Tasseff, PT in Hoover, AL - Medicare Physical Therapist Provider

Mallory Boackle Tasseff, PT is a medicare enrolled "Physical Therapist" provider in Hoover, Alabama. Her current practice location is 7191 Cahaba Valley Rd Ste 102, Hoover, Alabama. You can reach out to her office (for appointments etc.) via phone at (205) 408-6600.

Mallory Boackle Tasseff is licensed to practice in Alabama (license number PTH8787) 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 1235821679.

Contact Information

	Mallory Boackle Tasseff, PT
	7191 Cahaba Valley Rd Ste 102, Hoover, AL 35242-6507
	(205) 408-6600
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mallory Boackle Tasseff
Gender	Female
Speciality	Physical Therapist
Location	7191 Cahaba Valley Rd Ste 102, Hoover, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235821679
Provider Enumeration Date: 05/24/2023
Last Update Date: 05/24/2023

Medicare PECOS Information:

PECOS PAC ID: 9335506690
Enrollment ID: I20230601002212

Medical Identifiers

Medical identifiers for Mallory Boackle Tasseff such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235821679	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PTH8787 (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. Mallory Boackle Tasseff allows following entities to bill medicare on her behalf.

Provider Name	St Vincents Ambulatory Healthcare Network Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1891212494 PECOS PAC ID: 1355608456 Enrollment ID: O20180628002418

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 Boackle Tasseff 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
Mallory Boackle Tasseff, PT 1130 22nd St S Ste 1000, Birmingham, AL 35205-2881 Ph: (205) 408-6600	Mallory Boackle Tasseff, PT 7191 Cahaba Valley Rd Ste 102, Hoover, AL 35242-6507 Ph: (205) 408-6600

Reviews and Comments

Physical Therapist in Hoover, AL

Alexandria Daigler, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1401 Gables Dr, Hoover, AL 35244 Phone: 205-318-9060
Elizabeth Wilsman, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3421 S Shades Crest Rd Ste 107, Hoover, AL 35244 Phone: 205-987-6501 Fax: 205-987-6503
Taylor Tolleson, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 771 Shades Mountain Plz, Hoover, AL 35226 Phone: 205-718-8011 Fax: 205-453-1628
Emily Sansom, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2279 Valleydale Rd Ste 200, Hoover, AL 35244 Phone: 205-874-9523
Savannah Ayres Ruud, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3057 Lorna Rd Ste 220, Hoover, AL 35216 Phone: 205-978-9939
Matthew Clay Avromov, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1713 Montgomery Hwy Ste 131, Hoover, AL 35244 Phone: 205-403-8701 Fax: 205-403-8702
Mrs. Amy Bowers King, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2970 Lorna Rd, Hoover, AL 35216 Phone: 205-979-2619 Fax: 205-979-3606

Mallory Boackle Tasseff, PT - Medicare Physical Therapist in Hoover, AL