Loren E Mallory, PHD, ABPP is a medicare enrolled "Clinical Neuropsychologist" provider in Oregon City, Oregon. He graduated from medical school in 1991 and has 33 years of diverse experience with area of expertise as Clinical Psychologist. His current practice location is
619 Madison St Ste 108, Oregon City, Oregon. You can reach out to his office (for appointments etc.) via phone at
(503) 303-4257.
Loren E Mallory is licensed to practice in Oregon (license number 978) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1992853402.
Healthcare Provider's Profile
Full Name | Loren E Mallory |
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Gender | Male |
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Speciality | Clinical Psychologist |
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Experience | 33 Years |
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Location | 619 Madison St Ste 108, Oregon City, Oregon |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Loren E Mallory graduated from medical school in 1991
NPI Data:
- NPI Number: 1992853402
- Provider Enumeration Date: 01/08/2007
- Last Update Date: 04/09/2018
Medicare PECOS Information:
- PECOS PAC ID: 4486814829
- Enrollment ID: I20180508000604
Medical Identifiers
Medical identifiers for Loren E Mallory such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1992853402 | NPI | - | NPPES |
117227 | Other | | MHN HMC |
042544 | Medicaid | OR | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 0978 (Oregon) | Secondary |
103G00000X | Clinical Neuropsychologist | 978 (Oregon) | 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. Loren E Mallory allows following entities to bill medicare on his behalf.
Entity Name | Willamette Falls Neuropsychology Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1316533979 PECOS PAC ID: 3375952419 Enrollment ID: O20210503000486 |
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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. Loren E 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 |
Loren E Mallory, PHD, ABPP 619 Madison St Ste 108, Oregon City, OR 97045-2354 Ph: (503) 303-4257 | Loren E Mallory, PHD, ABPP 619 Madison St Ste 108, Oregon City, OR 97045-2354 Ph: (503) 303-4257 |
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