Dr Emily Samantha Mallon, DC is a medicare enrolled "Chiropractor" provider in Kingwood, West Virginia. She went to Palmer College Chiropractic - Davenport and graduated in 2006 and has 18 years of diverse experience with area of expertise as Chiropractic. She is a member of the group practice Bruceton Wellness Center Pllc and her current practice location is
23 Preston Plaza Dr, Kingwood, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(304) 329-1000.
Dr Emily Samantha Mallon is licensed to practice in West Virginia (license number 895) 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 1154376291.
Healthcare Provider's Profile
Full Name | Dr Emily Samantha Mallon |
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Gender | Female |
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Speciality | Chiropractic |
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Experience | 18 Years |
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Location | 23 Preston Plaza Dr, Kingwood, West Virginia |
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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:
- Dr Emily Samantha Mallon attended and graduated from Palmer College Chiropractic - Davenport in 2006
NPI Data:
- NPI Number: 1154376291
- Provider Enumeration Date: 05/24/2006
- Last Update Date: 01/04/2011
Medicare PECOS Information:
- PECOS PAC ID: 4880606573
- Enrollment ID: I20090708000309
Medical Identifiers
Medical identifiers for Dr Emily Samantha Mallon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154376291 | NPI | - | NPPES |
3810015448 | Medicaid | WV | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | 038-010671 (Illinois) | Secondary |
111N00000X | Chiropractor | 895 (West Virginia) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Bruceton Wellness Center Pllc | 6204073075 | 3 |
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 Emily Samantha Mallon allows following entities to bill medicare on her behalf.
Provider Name | Advantage Health & Wellness, Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1326256041 PECOS PAC ID: 9537195722 Enrollment ID: O20050711000231 |
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Provider Name | Bruceton Wellness Center Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1902242290 PECOS PAC ID: 6204073075 Enrollment ID: O20130515000218 |
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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. Dr Emily Samantha Mallon 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 |
Dr Emily Samantha Mallon, DC 4 Mont Chateau Est, Morgantown, WV 26508-8058 Ph: (517) 285-0417 | Dr Emily Samantha Mallon, DC 23 Preston Plaza Dr, Kingwood, WV 26537-1137 Ph: (304) 329-1000 |
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