Mallory Pace, in Edmond, OK - Medicare Speech-Language Pathologist Provider

Mallory Pace, is a medicare enrolled "Speech-language Pathologist" provider in Edmond, Oklahoma. Her current practice location is 7020 Nw 160th St., Edmond, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (518) 477-0263.

Mallory Pace is licensed to practice in Oklahoma (license number 4469) 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 1548627771.

Contact Information

	Mallory Pace,
	7020 Nw 160th St., Edmond, OK 73013
	(518) 477-0263
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mallory Pace
Gender	Female
Speciality	Speech-language Pathologist
Location	7020 Nw 160th St., Edmond, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548627771
Provider Enumeration Date: 01/19/2016
Last Update Date: 07/01/2020

Medicare PECOS Information:

PECOS PAC ID: 6406279652
Enrollment ID: I20200707002970

Medical Identifiers

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

Identifier	Type	State	Issuer
1548627771	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	4469 (Oklahoma)	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 Pace allows following entities to bill medicare on her behalf.

Provider Name	Village Physical Therapy, P.c.
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1710026992 PECOS PAC ID: 5496936379 Enrollment ID: O20110224001001

Provider Name	Premere Rehab Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1962702811 PECOS PAC ID: 2567434764 Enrollment ID: O20110321000981

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 Pace 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 Pace, 1451 24th St Apt 504, Denver, CO 80205-2193 Ph: (518) 477-0263	Mallory Pace, 7020 Nw 160th St., Edmond, OK 73013 Ph: (518) 477-0263

Reviews and Comments

Speech-Language Pathologist in Edmond, OK

Sensational Kids Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 14715 Bristol Park Blvd, Edmond, OK 73013 Phone: 405-840-1686
Chat Speech And Language Therapy, Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1709 Harvest Ln, Edmond, OK 73003 Phone: 918-520-9373
Cheryl Mcbrayer, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2613 Summerfield Dr, Edmond, OK 73012 Phone: 405-420-7882
Mrs. Jessica Alexis Elliott, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2337 Nw 159th Ter, Edmond, OK 73013 Phone: 405-596-7847
Jennifer Moore, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 301 S Boulevard, Edmond, OK 73034 Phone: 405-285-6765
Allison Marie Meier, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 2100 Ne 140th St, Edmond, OK 73013 Phone: 405-608-8020
Teresa Harkey, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 14715 Bristol Park Blvd, Edmond, OK 73013 Phone: 405-610-1909

Mallory Pace, - Medicare Speech-Language Pathologist in Edmond, OK