Abigail Martha Harris Mallory, RD, MS - Medicare Dietitian in Hailey, ID

Abigail Martha Harris Mallory, RD, MS is a medicare enrolled "Dietitian, Registered" provider in Hailey, Idaho. She graduated from medical school in 2020 and has 4 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. She is a member of the group practice St Lukes Clinic - Wood River Llc and her current practice location is 211 N 6th Ave, Hailey, Idaho. You can reach out to her office (for appointments etc.) via phone at (802) 318-7232.

Abigail Martha Harris Mallory is licensed to practice in * (Not Available) (license number ) 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 1114519519.

Contact Information

Abigail Martha Harris Mallory, RD, MS
211 N 6th Ave,
Hailey, ID 83333-8867
(802) 318-7232
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameAbigail Martha Harris Mallory
GenderFemale
SpecialityRegistered Dietitian Or Nutrition Professional
Experience4 Years
Location211 N 6th Ave, Hailey, Idaho
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Abigail Martha Harris Mallory graduated from medical school in 2020
  NPI Data:
  • NPI Number: 1114519519
  • Provider Enumeration Date: 02/07/2021
  • Last Update Date: 02/07/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8729497839
  • Enrollment ID: I20210430001732

Medical Identifiers

Medical identifiers for Abigail Martha Harris Mallory such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114519519NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered (* (Not Available))Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Lukes Clinic - Wood River Llc317378381854

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. Abigail Martha Harris Mallory allows following entities to bill medicare on her behalf.
Provider NameSt Lukes Clinic - Wood River Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1972891604
PECOS PAC ID: 3173783818
Enrollment ID: O20120404000474

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. Abigail Martha Harris Mallory 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
Abigail Martha Harris Mallory, RD, MS
Po Box 3413,
Ketchum, ID 83340-3369

Ph: (802) 318-7232
Abigail Martha Harris Mallory, RD, MS
211 N 6th Ave,
Hailey, ID 83333-8867

Ph: (802) 318-7232

Reviews and Comments


Dietitian, Registered in Hailey, ID


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.