Mallory Krkoska, MS in Indianapolis, IN - Medicare Speech-Language Pathologist Provider

Mallory Krkoska, MS is a medicare enrolled "Speech-language Pathologist" provider in Indianapolis, Indiana. Her current practice location is 6437 Rucker Rd, Suite D, Indianapolis, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 405-9016.

Mallory Krkoska is licensed to practice in Indiana (license number 46002979A) 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 1295188795.

Contact Information

	Mallory Krkoska, MS
	6437 Rucker Rd, Suite D, Indianapolis, IN 46220-4885
	(317) 405-9016
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mallory Krkoska
Gender	Female
Speciality	Speech-language Pathologist
Location	6437 Rucker Rd, Indianapolis, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295188795
Provider Enumeration Date: 07/20/2016
Last Update Date: 01/03/2022

Medicare PECOS Information:

PECOS PAC ID: 4486058872
Enrollment ID: I20210806001573

Medical Identifiers

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

Identifier	Type	State	Issuer
1295188795	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	46002979A (Indiana)	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 Krkoska allows following entities to bill medicare on her behalf.

Provider Name	Permanente Medical Group Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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 Krkoska 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 Krkoska, MS 9959 Buttondown Ln, Zionsville, IN 46077-8133 Ph: (925) 451-9578	Mallory Krkoska, MS 6437 Rucker Rd, Suite D, Indianapolis, IN 46220-4885 Ph: (317) 405-9016

Reviews and Comments

Speech-Language Pathologist in Indianapolis, IN

Mrs. Rachelle Lyn Ferguson, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8616 W 10th St, Indianapolis, IN 46234 Phone: 317-209-2332
Anne P Droese, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6923 Hillsdale Ct, Indianapolis, IN 46250 Phone: 317-472-6150 Fax: 317-644-8050
Mrs. Samantha Lonetta Rae Hannah, M.A. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8921 Southpointe Dr, Suite C-1, Indianapolis, IN 46227 Phone: 317-881-1718 Fax: 317-881-1728
Ms. Courtney Elese Gorbandt, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6239 S East St Ste A, Indianapolis, IN 46227 Phone: 317-791-9031
Julia Porter, MSP, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 8111 S Emerson Ave, Indianapolis, IN 46237 Phone: 317-528-8111
Sarah Dixon, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8111 S Emerson Ave, Indianapolis, IN 46237 Phone: 317-528-8111
Taralynn Morgan Brown, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6239 S East St Ste I, Indianapolis, IN 46227 Phone: 317-561-1888

Mallory Krkoska, MS - Medicare Speech-Language Pathologist in Indianapolis, IN