Dr Mallory Mathis, OD - Medicare Optometrist in Waverly, TN

Dr Mallory Mathis, OD is a medicare enrolled "Optometrist" provider in Waverly, Tennessee. Her current practice location is 215 Holly Ln, Waverly, Tennessee. You can reach out to her office (for appointments etc.) via phone at (931) 296-1990.

Dr Mallory Mathis is licensed to practice in Tennessee (license number 3824) 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 1134805633.

Contact Information

Dr Mallory Mathis, OD
215 Holly Ln,
Waverly, TN 37185-3387
(931) 296-1990
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Mallory Mathis
GenderFemale
SpecialityOptometrist
Location215 Holly Ln, Waverly, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1134805633
  • Provider Enumeration Date: 06/27/2023
  • Last Update Date: 07/24/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2567825367
  • Enrollment ID: I20230828000157

Medical Identifiers

Medical identifiers for Dr Mallory Mathis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134805633NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 3824 (Tennessee)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. Dr Mallory Mathis allows following entities to bill medicare on her behalf.
Provider NameHermitage Eye Care, Pllc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1275943052
PECOS PAC ID: 0446576359
Enrollment ID: O20150311000798

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. Dr Mallory Mathis 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
Dr Mallory Mathis, OD
111 E 4th St Ste 440,
Alton, IL 62002-6206

Ph: (618) 462-9818
Dr Mallory Mathis, OD
215 Holly Ln,
Waverly, TN 37185-3387

Ph: (931) 296-1990

Reviews and Comments


Optometrist in Waverly, TN

Dr. James H King, O.D.
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Phone: 931-296-2747    Fax: 931-296-2749
Eyes On Diabetes Pllc
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Phone: 931-296-1990    Fax: 931-296-1889
River Valley Eye Clinic P C
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Medicare: Medicare Enrolled
Practice Location: 215 Holly Ln, Waverly, TN 37185
Phone: 931-296-1990    Fax: 931-296-1899
Dr. Tonya Michelle Reynoldson, OD
Optometrist
Medicare: May Accept Medicare Assignments
Practice Location: 215 Holly Ln, River Valley Eye Clinic P.c, Waverly, TN 37185
Phone: 931-296-1990    Fax: 931-296-1899

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.