Yvette Mallory, PSYD is a medicare enrolled "Psychologist - Counseling" provider in Mt. Juliet, Tennessee. Her current practice location is
11205 Lebanon Rd Pmb 1008, Mt. Juliet, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(615) 412-8909.
Yvette Mallory is licensed to practice in Tennessee (license number 3980) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1659824308.
Healthcare Provider's Profile
| Full Name | Yvette Mallory |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 11205 Lebanon Rd Pmb 1008, Mt. Juliet, Tennessee |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Yvette Mallory attended and graduated from in
NPI Data:
- NPI Number: 1659824308
- Provider Enumeration Date: 07/29/2016
- Last Update Date: 12/17/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Yvette Mallory such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659824308 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103T00000X | Psychologist | PY 9599 (Florida) | Secondary |
| 103TC1900X | Psychologist - Counseling | 3980 (Tennessee) | Primary |
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. Yvette 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 |
|---|
Yvette Mallory, PSYD
11205 Lebanon Rd Pmb 1008,
Mt Juliet, TN 37122
Ph: () - | Yvette Mallory, PSYD
11205 Lebanon Rd Pmb 1008,
Mt. Juliet, TN 37122
Ph: (615) 412-8909 |
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