Mallory Sprague, MD - Medicare Family Practice in Potsdam, NY

Mallory Sprague, MD is a medicare enrolled "Family Medicine" physician in Potsdam, New York. She graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Canton-potsdam Hospital, Canton-potsdam Medical Practice Pllc and her current practice location is 49 Lawrence Ave, Potsdam, New York. You can reach out to her office (for appointments etc.) via phone at (315) 261-5550.

Mallory Sprague is licensed to practice in New York (license number 301774) 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 1366891632.

Contact Information

Mallory Sprague, MD
49 Lawrence Ave,
Potsdam, NY 13676-1889
(315) 261-5550
Not Available

Map and Direction




Physician's Profile

Full NameMallory Sprague
GenderFemale
SpecialityFamily Practice
Experience8 Years
Location49 Lawrence Ave, Potsdam, New York
Accepts Medicare AssignmentsYes. 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 Sprague graduated from medical school in 2016
  NPI Data:
  • NPI Number: 1366891632
  • Provider Enumeration Date: 06/08/2016
  • Last Update Date: 03/31/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0446683312
  • Enrollment ID: I20191206000869

Medical Identifiers

Medical identifiers for Mallory Sprague such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366891632NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 301774 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Health Services Of Northern New York Inc ChhaPotsdam, NYHome health agency
Northern Lights Home Health CareCanton, NYHome health agency
Canton-potsdam HospitalPotsdam, NYHospital
Claxton-hepburn Medical CenterOgdensburg, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Canton-potsdam Hospital6204827280197
Canton-potsdam Medical Practice Pllc65070908832

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 Sprague allows following entities to bill medicare on her behalf.
Entity NameCanton-potsdam Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568548782
PECOS PAC ID: 6204827280
Enrollment ID: O20040519000761
Entity NameCanton-potsdam Medical Practice Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760821417
PECOS PAC ID: 6507090883
Enrollment ID: O20130930000502

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 Sprague 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 AddressPractice Location Address
Mallory Sprague, MD
50 Leroy St,
Potsdam, NY 13676-1786

Ph: (315) 265-3300
Mallory Sprague, MD
49 Lawrence Ave,
Potsdam, NY 13676-1889

Ph: (315) 261-5550

Reviews and Comments


Family Medicine Doctors in Potsdam, NY

Vineet Bansal,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 49 Lawrence Ave, Potsdam, NY 13676
Phone: 315-261-5550    Fax: 315-261-5597
Dr. Alecia Acee Vanwagner, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 49 Lawrence Avuenue, Potsdam, NY 13676
Phone: 315-261-5550    Fax: 315-261-5598
Dr. Timothy K Atkinson, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 50 Leroy St, Potsdam, NY 13676
Phone: 315-265-3300    Fax: 315-261-6410
Dr. Aaron E Fuller, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 49 Lawrence Ave, Potsdam, NY 13676
Phone: 315-261-5550    Fax: 315-261-5599
Roshanak Salehi, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 50 Leroy St, Potsdam, NY 13676
Phone: 315-265-3300    
Dr. Emily Louise Wood, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 49 Lawrence Ave, Potsdam, NY 13676
Phone: 315-384-4881    Fax: 315-384-4905

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.