Haley C Mallory, APRN is a medicare enrolled "Nurse Practitioner - Family" in Cave City, Kentucky. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice T J Samson Community Hospital and her current practice location is
440 E Happy Valley St, Cave City, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(270) 773-2111.
Haley C Mallory is licensed to practice in Kentucky (license number 3016595) 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 1275277121.
Provider's Profile
Full Name | Haley C Mallory |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 3 Years |
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Location | 440 E Happy Valley St, Cave City, Kentucky |
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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:
- Haley C Mallory graduated from nursing school in 2021
NPI Data:
- NPI Number: 1275277121
- Provider Enumeration Date: 04/26/2022
- Last Update Date: 03/02/2023
Medicare PECOS Information:
- PECOS PAC ID: 3072990860
- Enrollment ID: I20220517001569
Medical Identifiers
Medical identifiers for Haley C Mallory such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275277121 | NPI | - | NPPES |
7100810630 | Medicaid | KY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 3016595 (Kentucky) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
T J Samson Community Hospital | 0648182600 | 138 |
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. Haley C Mallory allows following entities to bill medicare on her behalf.
Entity Name | T J Samson Community Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1629429360 PECOS PAC ID: 0648182600 Enrollment ID: O20161005001505 |
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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. Haley C Mallory 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 |
Haley C Mallory, APRN 440 E Happy Valley St, Cave City, KY 42127-8844 Ph: (270) 773-2111 | Haley C Mallory, APRN 440 E Happy Valley St, Cave City, KY 42127-8844 Ph: (270) 773-2111 |
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