Mallory Moore, SLP in Ruston, LA - Medicare Speech-Language Pathologist Provider

Mallory Moore, SLP is a medicare enrolled "Speech-language Pathologist" provider in Ruston, Louisiana. Her current practice location is 2309 S Service Rd W, Ruston, Louisiana. You can reach out to her office (for appointments etc.) via phone at (318) 232-1969.

Mallory Moore is licensed to practice in Louisiana (license number 8340) 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 1649824236.

Contact Information

	Mallory Moore, SLP
	2309 S Service Rd W, Ruston, LA 71270-3167
	(318) 232-1969
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mallory Moore
Gender	Female
Speciality	Speech-language Pathologist
Location	2309 S Service Rd W, Ruston, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649824236
Provider Enumeration Date: 07/31/2019
Last Update Date: 07/31/2019

Medicare PECOS Information:

PECOS PAC ID: 0547598096
Enrollment ID: I20190822001384

Medical Identifiers

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

Identifier	Type	State	Issuer
1649824236	NPI	-	NPPES
8340	Other	LA	SPEECH LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	8340 (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. Mallory Moore allows following entities to bill medicare on her behalf.

Provider Name	Melanie Massey Physical Therapy Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1104922475 PECOS PAC ID: 5890784342 Enrollment ID: O20040510000785

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 Moore 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 Moore, SLP Po Box 1377, West Monroe, LA 71294-1377 Ph: (318) 396-1969	Mallory Moore, SLP 2309 S Service Rd W, Ruston, LA 71270-3167 Ph: (318) 232-1969

Reviews and Comments

Speech-Language Pathologist in Ruston, LA

Amanda Mcdaniel, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1603 Goodwin Rd, Ruston, LA 71270 Phone: 318-255-7550 Fax: 318-255-7552
Madeline Bridges, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 410 S Farmerville St, Ruston, LA 71270 Phone: 318-341-4083
Brett Roussell, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2309 S Service Rd W, Ruston, LA 71270 Phone: 318-232-1969 Fax: 318-232-1970
Cynthia Candace Bryan, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1106 Mcquay Dr, Ruston, LA 71270 Phone: 318-507-5056
Leslie Smith Herbert, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 900 Bearcat Dr, Ruston, LA 71270 Phone: 337-945-4474
Mrs. Christina Renee Madix, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1702 Cedar Creek Rd, Ruston, LA 71270 Phone: 318-245-4859
Mindy Epps Jones, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1000 Mitchell Ave, Ruston, LA 71270 Phone: 318-255-5963

Mallory Moore, SLP - Medicare Speech-Language Pathologist in Ruston, LA