Dr Tracy Mallett, PSYD is a medicare enrolled "Psychologist" provider in Plantation, Florida. Her current practice location is
8201 Peters Rd, Plantation, Florida. You can reach out to her office (for appointments etc.) via phone at
(954) 665-4115.
Dr Tracy Mallett is licensed to practice in Florida (license number PY7881) 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 1417054990.
Healthcare Provider's Profile
| Full Name | Dr Tracy Mallett |
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| Gender | Female |
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| Speciality | Psychologist |
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| Location | 8201 Peters Rd, Plantation, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1417054990
- Provider Enumeration Date: 09/19/2006
- Last Update Date: 02/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 8022420223
- Enrollment ID: I20201211001484
Medical Identifiers
Medical identifiers for Dr Tracy Mallett such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417054990 | NPI | - | NPPES |
| Z090E | Other | FL | BCBS NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 106H00000X | Marriage & Family Therapist | MT2077 (Florida) | Secondary |
| 103T00000X | Psychologist | PY7881 (Florida) | 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 Tracy Mallett allows following entities to bill medicare on her behalf.
| Entity Name | Mcr Health Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1255376000
PECOS PAC ID: 7214847995
Enrollment ID: O20040126000213 |
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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 Tracy Mallett 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 Tracy Mallett, PSYD
4451 Sw 95th Ave,
Cooper City, FL 33328-2419
Ph: (954) 483-1254 | Dr Tracy Mallett, PSYD
8201 Peters Rd,
Plantation, FL 33324-3265
Ph: (954) 665-4115 |
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