Mallory Lois Hislar, MSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Greeley, Colorado. She graduated from healthcare school in 2019 and has 5 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Family Care Center Llc, Sondermind Provider Network Llc and her current practice location is
1306 11th Ave, Greeley, Colorado. You can reach out to her office (for appointments etc.) via phone at
(970) 347-2120.
Mallory Lois Hislar is licensed to practice in Colorado (license number CSW.09927998) 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 1306482666.
Healthcare Provider's Profile
Full Name | Mallory Lois Hislar |
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Gender | Female |
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Speciality | Clinical Social Worker |
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Experience | 5 Years |
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Location | 1306 11th Ave, Greeley, Colorado |
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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:
- Mallory Lois Hislar graduated from medical school in 2019
NPI Data:
- NPI Number: 1306482666
- Provider Enumeration Date: 11/21/2019
- Last Update Date: 02/22/2022
Medicare PECOS Information:
- PECOS PAC ID: 0840687422
- Enrollment ID: I20220428002750
Medical Identifiers
Medical identifiers for Mallory Lois Hislar such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1306482666 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | CSW.09927998 (Colorado) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Family Care Center Llc | 5991064420 | 149 |
Sondermind Provider Network Llc | 9537572490 | 501 |
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 Lois Hislar allows following entities to bill medicare on her behalf.
Entity Name | Family Care Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1790141984 PECOS PAC ID: 5991064420 Enrollment ID: O20180109000960 |
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Entity Name | Sondermind Provider Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210113002826 |
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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. Mallory Lois Hislar 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 Lois Hislar, MSW, LCSW 1300 N 17th Ave, Greeley, CO 80631-9584 Ph: (970) 347-2120 | Mallory Lois Hislar, MSW, LCSW 1306 11th Ave, Greeley, CO 80631-3835 Ph: (970) 347-2120 |
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