Rachael Lynn Mallory, RD in Rochester, NY - Medicare Dietitian, Registered Provider

Rachael Lynn Mallory, RD is a medicare enrolled "Dietitian, Registered" provider in Rochester, New York. Her current practice location is 2607 East Ave., Floor 1, Rochester, New York. You can reach out to her office (for appointments etc.) via phone at (585) 275-2647.

Rachael Lynn Mallory is licensed to practice in New York (license number 013509) 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 1710460530.

Contact Information

	Rachael Lynn Mallory, RD
	2607 East Ave., Floor 1, Rochester, NY 14610-3149
	(585) 275-2647
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Rachael Lynn Mallory
Gender	Female
Speciality	Dietitian, Registered
Location	2607 East Ave., Rochester, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710460530
Provider Enumeration Date: 09/07/2018
Last Update Date: 07/01/2026

Medicare PECOS Information:

PECOS PAC ID: 4486907409
Enrollment ID: I20210911000206

Medical Identifiers

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

Identifier	Type	State	Issuer
1710460530	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	013509 (New York)	Primary
133VN1004X	Dietitian, Registered - Nutrition, Pediatric	LD-1215 (New Mexico)	Secondary
133V00000X	Dietitian, Registered	86068154 (California)	Secondary

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. Rachael Lynn Mallory allows following entities to bill medicare on her behalf.

Provider Name	Lpch Medical Group Div Of Lucile
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1417907940 PECOS PAC ID: 0840298543 Enrollment ID: O20061113000232

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. Rachael Lynn 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 Address	Practice Location Address
Rachael Lynn Mallory, RD 601 Elmwood Ave., Box 635, Rochester, NY 14642-0001 Ph: (650) 497-8000	Rachael Lynn Mallory, RD 2607 East Ave., Floor 1, Rochester, NY 14610-3149 Ph: (585) 275-2647

Reviews and Comments

Dietitian, Registered in Rochester, NY

On Nutrition, Pllc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10 Hagen Dr, Suite 200, Rochester, NY 14625 Phone: 585-770-1045 Fax: 585-385-1994
Amanda Schantz, Dietitian Medicare: Accepting Medicare Assignments Practice Location: 224 Alexander St Ste 200, Rochester, NY 14607 Phone: 585-922-8400 Fax: 585-922-8405
Jill Marie Garringer, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2400 Clinton Ave S Ste 135, Rochester, NY 14618 Phone: 585-341-7066
Joy Valvano, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 2655 Ridgeway Ave Ste 220, Rochester, NY 14626 Phone: 585-368-4560 Fax: 585-368-4565
Piera Carubia, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1000 South Ave, Box 95, Rochester, NY 14620 Phone: 585-341-0695
Melissa Goddeau, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3380 Monroe Ave Ste 213, Rochester, NY 14618 Phone: 585-563-9000 Fax: 585-301-4895
Miss Linda Marie Sirianni, RD CDE CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1000 South Ave, Rochester, NY 14620 Phone: 585-341-6807

Rachael Lynn Mallory, RD - Medicare Dietitian in Rochester, NY