Mallori Feazell, MS, CCC-SLP in Pineville, LA - Medicare Speech-Language Pathologist Provider

Mallori Feazell, MS, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Pineville, Louisiana. Her current practice location is 5201 Shreveport Hwy, Pineville, Louisiana. You can reach out to her office (for appointments etc.) via phone at (318) 640-3014.

Mallori Feazell is licensed to practice in Louisiana (license number 7921) 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 1972108694.

Contact Information

	Mallori Feazell, MS, CCC-SLP
	5201 Shreveport Hwy, Pineville, LA 71360-3527
	(318) 640-3014
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mallori Feazell
Gender	Female
Speciality	Speech-language Pathologist
Location	5201 Shreveport Hwy, Pineville, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972108694
Provider Enumeration Date: 12/01/2020
Last Update Date: 12/01/2020

Medicare PECOS Information:

PECOS PAC ID: 3375984271
Enrollment ID: I20240509001314

Medical Identifiers

Medical identifiers for Mallori Feazell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972108694	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	7921 (Louisiana)	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. Mallori Feazell allows following entities to bill medicare on her behalf.

Provider Name	Synergy Care Southeast, Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1891156055 PECOS PAC ID: 6204079163 Enrollment ID: O20160722001624

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. Mallori Feazell 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
Mallori Feazell, MS, CCC-SLP 514 Wysteria Ln, Pineville, LA 71360-4252 Ph: (318) 792-6770	Mallori Feazell, MS, CCC-SLP 5201 Shreveport Hwy, Pineville, LA 71360-3527 Ph: (318) 640-3014

Reviews and Comments

Speech-Language Pathologist in Pineville, LA

Amanda Lacroix, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8717 Ridgemont Dr, Pineville, LA 71360 Phone: 318-419-1520
Mrs. Glynda T. Richard, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 208 Sweetwater Rim, Pineville, LA 71360 Phone: 888-735-9403
Mrs. Pamela R Bankston, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 208 Sweetwater Rim, Pineville, LA 71360 Phone: 318-419-8176
Erin Bordelon Wilson, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 818 Main St Ste C, Pineville, LA 71360 Phone: 318-446-0601
Carol Martin, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 100 Pinecrest Dr, Pineville, LA 71360 Phone: 318-641-2000 Fax: 318-641-2309
Andrea Marie Vanburen, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 818 Main St Ste C, Pineville, LA 71360 Phone: 318-691-0898
Laura L Odom, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2495 Shreveport Hwy # 71, Pineville, LA 71360 Phone: 318-473-0010 Fax: 318-483-5117

Mallori Feazell, MS, CCC-SLP - Medicare Speech-Language Pathologist in Pineville, LA