Mallory N Blassingham, DPT in Byron, IL - Medicare Physical Therapist Provider

Mallory N Blassingham, DPT is a medicare enrolled "Physical Therapist" provider in Byron, Illinois. Her current practice location is 209 N Union St, Byron, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 234-5553.

Mallory N Blassingham is licensed to practice in Illinois (license number 070.028112) 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 1073373411.

Contact Information

	Mallory N Blassingham, DPT
	209 N Union St, Byron, IL 61010-8626
	(815) 234-5553
	(815) 234-5557

Map and Direction

Healthcare Provider's Profile

Full Name	Mallory N Blassingham
Gender	Female
Speciality	Physical Therapist
Location	209 N Union St, Byron, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073373411
Provider Enumeration Date: 03/21/2024
Last Update Date: 03/21/2024

Medicare PECOS Information:

PECOS PAC ID: 0244671550
Enrollment ID: I20240516002491

Medical Identifiers

Medical identifiers for Mallory N Blassingham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073373411	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	070.028112 (Illinois)	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 N Blassingham allows following entities to bill medicare on her behalf.

Provider Name	Ortho Rehab Specialists Pllc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1891330882 PECOS PAC ID: 8527492354 Enrollment ID: O20200102001046

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 N Blassingham 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 N Blassingham, DPT 2662 Mcfarland Rd, Rockford, IL 61107-6806 Ph: (815) 227-1700	Mallory N Blassingham, DPT 209 N Union St, Byron, IL 61010-8626 Ph: (815) 234-5553

Reviews and Comments

Physical Therapist in Byron, IL

Heather Marie Walden, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 206 W. Blackhawk Drive, Byron, IL 61010 Phone: 779-513-8230 Fax: 779-272-0132
Mrs. Jenifer Elizabeth Druien, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 811 W 2nd St, Byron, IL 61010 Phone: 815-234-5898
Mrs. Bridget L Johnson, PT OCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 404 W Blackhawk Drive, Suite 1u, Byron, IL 61010 Phone: 815-234-5561 Fax: 815-234-5870
Dr. Angela Pfeiffer, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 124 W 2nd St Ste 1a, Byron, IL 61010 Phone: 815-645-9450
Mr. Drew Alan Fitzanko, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 209 N. Union St., Byron, IL 61010 Phone: 815-234-5553 Fax: 815-234-5557
Mr. Jonathan S Link, MPT OCS CSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 404 W Blackhawk Drive, Suite 1ll, Byron, IL 61010 Phone: 815-234-5561 Fax: 815-234-5870

Mallory N Blassingham, DPT - Medicare Physical Therapist in Byron, IL