Mallory Nichole Humphrey, AUD in Saint Clair Shores, MI - Medicare Qualified Audiologist Provider

Mallory Nichole Humphrey, AUD is a medicare enrolled "Audiologist" provider in Saint Clair Shores, Michigan. She graduated from medical school in 2021 and has 5 years of diverse experience with area of expertise as Qualified Audiologist. She is a member of the group practice Hearing Care Center Inc and her current practice location is 21000 E 12 Mile Rd Ste 111, Saint Clair Shores, Michigan. You can reach out to her office (for appointments etc.) via phone at (586) 779-7610.

Mallory Nichole Humphrey is licensed to practice in Michigan (license number 1601001020) 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 1881269074.

Contact Information

	Mallory Nichole Humphrey, AUD
	21000 E 12 Mile Rd Ste 111, Saint Clair Shores, MI 48081-1156
	(586) 779-7610
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mallory Nichole Humphrey
Gender	Female
Speciality	Qualified Audiologist
Experience	5 Years
Location	21000 E 12 Mile Rd Ste 111, Saint Clair Shores, Michigan
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 Nichole Humphrey graduated from medical school in 2021

NPI Data:

NPI Number: 1881269074
Provider Enumeration Date: 05/21/2021
Last Update Date: 07/15/2022

Medicare PECOS Information:

PECOS PAC ID: 9931509627
Enrollment ID: I20210617001171

Medical Identifiers

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

Identifier	Type	State	Issuer
1881269074	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
231H00000X	Audiologist	1601001020 (Michigan)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Hearing Care Center Inc	3072845882	2

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 Nichole Humphrey allows following entities to bill medicare on her behalf.

Provider Name	Ascension St John Hospital
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1043478910 PECOS PAC ID: 3173424082 Enrollment ID: O20040115000409

Provider Name	Hearing Care Center Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1639615842 PECOS PAC ID: 3072845882 Enrollment ID: O20191029000585

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 Nichole Humphrey 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 Nichole Humphrey, AUD 5428 Burton Rd, Mussey, MI 48014-1111 Ph: () -	Mallory Nichole Humphrey, AUD 21000 E 12 Mile Rd Ste 111, Saint Clair Shores, MI 48081-1156 Ph: (586) 779-7610

Reviews and Comments

Audiologist in Saint Clair Shores, MI

Dr. Alexandra C Dadich, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 21603 E 11 Mile Rd, Saint Clair Shores, MI 48081 Phone: 248-569-5985
St. John Hospital And Medical Center Audiologist Medicare: Not Enrolled in Medicare Practice Location: 21000 E 12 Mile Rd, Suite 111, Saint Clair Shores, MI 48081 Phone: 586-779-7610 Fax: 586-779-1391
Audionet America - St Clair Shores Llc Audiologist Medicare: Not Enrolled in Medicare Practice Location: 22631 Greater Mack Ave, Suite 100, Saint Clair Shores, MI 48080 Phone: 586-252-2914 Fax: 586-252-2918
Mr. Aaron T Gale, Audiologist Medicare: Medicare Enrolled Practice Location: 21000 E 12 Mile Rd, Suite 111, Saint Clair Shores, MI 48081 Phone: 586-779-7610
Jaclyn Marie Sommerville, AU.D, CCC-A Audiologist Medicare: Accepting Medicare Assignments Practice Location: 23233 Nine Mack Dr, Saint Clair Shores, MI 48080 Phone: 586-498-5000 Fax: 844-273-2104
Sommerville Audiology, Llc Audiologist Medicare: Medicare Enrolled Practice Location: 23233 Nine Mack Dr, Saint Clair Shores, MI 48080 Phone: 586-498-5000

Mallory Nichole Humphrey, AUD - Medicare Audiologist in Saint Clair Shores, MI