Yvette Mallory, PSYD is a medicare enrolled "Psychologist - Counseling" provider in Mt. Juliet, Tennessee. She graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Katz Counseling And Educational Psychology and 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 | Clinical Psychologist |
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Experience | 10 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. |
Medical Education and Training:
- Yvette Mallory graduated from medical school in 2014
NPI Data:
- NPI Number: 1659824308
- Provider Enumeration Date: 07/29/2016
- Last Update Date: 10/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 3375830391
- Enrollment ID: I20160919002745
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 |
103T00000X | Psychologist | PY 9599 (Florida) | Secondary |
103TC1900X | Psychologist - Counseling | 3980 (Tennessee) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Katz Counseling And Educational Psychology | 7315117736 | 2 |
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. Yvette Mallory allows following entities to bill medicare on her behalf.
Entity Name | Cotler Healthcare & Development Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1225075047 PECOS PAC ID: 0143121145 Enrollment ID: O20040114000075 |
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Entity Name | Katz Counseling And Educational Psychology |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1790065043 PECOS PAC ID: 7315117736 Enrollment ID: O20110823000246 |
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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. 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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