Dr Brenda Susan Mallory, MD in Bloomington, IN - Medicare Physical Medicine & Rehabilitation

Dr Brenda Susan Mallory, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Bloomington, Indiana. Her current practice location is 601 W 2nd St, Bloomington, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 353-6821.

Dr Brenda Susan Mallory is licensed to practice in Indiana (license number 01084397A) 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 1992707111.

Contact Information

	Dr Brenda Susan Mallory, MD
	601 W 2nd St, Bloomington, IN 47403-2317
	(812) 353-6821
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Brenda Susan Mallory
Gender	Female
Speciality	Physical Medicine & Rehabilitation
Location	601 W 2nd St, Bloomington, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992707111
Provider Enumeration Date: 06/01/2005
Last Update Date: 09/01/2020

Medicare PECOS Information:

PECOS PAC ID: 8123032489
Enrollment ID: I20220614001915

Medical Identifiers

Medical identifiers for Dr Brenda Susan Mallory such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992707111	NPI	-	NPPES
01417674	Medicaid	NY
1024982060001	Medicaid	PA
191473-1	Other	NY	NY STATE LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208100000X	Physical Medicine & Rehabilitation	MD440148 (Pennsylvania)	Secondary
208100000X	Physical Medicine & Rehabilitation	191473-1 (New York)	Secondary
208100000X	Physical Medicine & Rehabilitation	01084397A (Indiana)	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 Brenda Susan Mallory allows following entities to bill medicare on her behalf.

Entity Name	Nebraska Methodist Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689628372 PECOS PAC ID: 6901707447 Enrollment ID: O20040116000781

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 Brenda Susan 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
Dr Brenda Susan Mallory, MD Po Box 858, Mc A410, Hershey, PA 17033-0858 Ph: (800) 243-1455	Dr Brenda Susan Mallory, MD 601 W 2nd St, Bloomington, IN 47403-2317 Ph: (812) 353-6821

Reviews and Comments

Physical Medicine & Rehabilitation Doctors in Bloomington, IN

Dr. J. Paul Kern, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 717 S Rogers St, Bloomington, IN 47403 Phone: 812-337-0700 Fax: 812-337-0714
Dr. Jeff C.c. Thomas, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 2201 W Sudbury Dr, Suite C, Bloomington, IN 47403 Phone: 812-333-1933 Fax: 812-333-3991
Dr. Earl J Craig, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 717 S Rogers St, Bloomington, IN 47403 Phone: 812-337-0700 Fax: 812-337-0714

Dr Brenda Susan Mallory, MD - Medicare Physical Medicine & Rehabilitation in Bloomington, IN