Mallory Miracle, in Crestwood, KY - Medicare Speech-Language Pathologist Provider

Mallory Miracle, is a medicare enrolled "Speech-language Pathologist" provider in Crestwood, Kentucky. Her current practice location is 6317 Highway 329, Crestwood, Kentucky. You can reach out to her office (for appointments etc.) via phone at (502) 384-0910.

Mallory Miracle is licensed to practice in Kentucky (license number 12-043) 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 1538507413.

Contact Information

	Mallory Miracle,
	6317 Highway 329, Crestwood, KY 40014-9040
	(502) 384-0910
	(502) 384-0908

Map and Direction

Healthcare Provider's Profile

Full Name	Mallory Miracle
Gender	Female
Speciality	Speech-language Pathologist
Location	6317 Highway 329, Crestwood, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538507413
Provider Enumeration Date: 06/12/2013
Last Update Date: 06/12/2013

Medicare PECOS Information:

PECOS PAC ID: 1355873878
Enrollment ID: I20241022001244

Medical Identifiers

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

Identifier	Type	State	Issuer
1538507413	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	12-043 (Kentucky)	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 Miracle allows following entities to bill medicare on her behalf.

Provider Name	Hona Medical Group Pa
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1487490553 PECOS PAC ID: 9032641113 Enrollment ID: O20241022000831

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 Miracle 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 Miracle, 4529 Biles Ct, Louisville, KY 40241-3703 Ph: (816) 830-3840	Mallory Miracle, 6317 Highway 329, Crestwood, KY 40014-9040 Ph: (502) 384-0910

Reviews and Comments

Speech-Language Pathologist in Crestwood, KY

Mrs. Marci Jo Walker, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5413 Pearce Way, Crestwood, KY 40014 Phone: 502-807-7995 Fax: 502-241-5922
Melanie Rances, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6317 Highway 329, Crestwood, KY 40014 Phone: 502-384-0910
Mary E Olson, MS Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6317 Highway 329, Crestwood, KY 40014 Phone: 502-384-0910
Miss Lindsay Michelle Cummings, M.A. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6317 Highway 329, Crestwood, KY 40014 Phone: 502-384-0910
Mrs. Kelsey Ann Schuhmann, M.S. CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 6317 Highway 329, Crestwood, KY 40014 Phone: 502-384-0910
Briana Noelle Tingle, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6317 Highway 329, Crestwood, KY 40014 Phone: 502-384-0910
Emily Marie Rhodes, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6317 Highway 329, Crestwood, KY 40014 Phone: 502-384-0910

Mallory Miracle, - Medicare Speech-Language Pathologist in Crestwood, KY