Dr Dorothy Jill Mallory, MD in Cottage Grove, WI

Dr Dorothy Jill Mallory, MD is a medicare enrolled "Family Medicine" physician in Cottage Grove, Wisconsin. She went to Medical College Of Georgia School Of Medicine and graduated in 2005 and has 20 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Wildwood Family Clinic Sc and her current practice location is 251 E Cottage Grove Rd, Cottage Grove, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 839-3515.

Dr Dorothy Jill Mallory is licensed to practice in Wisconsin (license number 49462-020) 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 1831139039.

Contact Information

	Dr Dorothy Jill Mallory, MD
	251 E Cottage Grove Rd, Cottage Grove, WI 53527-9619
	(608) 839-3515
	(608) 839-3541

Map and Direction

Physician's Profile

Full Name	Dr Dorothy Jill Mallory
Gender	Female
Speciality	Family Practice
Experience	20 Years
Location	251 E Cottage Grove Rd, Cottage Grove, Wisconsin
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 Dorothy Jill Mallory attended and graduated from Medical College Of Georgia School Of Medicine in 2005

NPI Data:

NPI Number: 1831139039
Provider Enumeration Date: 06/07/2006
Last Update Date: 11/02/2020

Medicare PECOS Information:

PECOS PAC ID: 7618979725
Enrollment ID: I20070202000099

Medical Identifiers

Medical identifiers for Dr Dorothy Jill Mallory such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831139039	NPI	-	NPPES
34734300	Medicaid	WI
151150020	Other	WI	MEDICARE PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	49462-020 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ssm Health St Mary's Hospital - Madison	Madison, WI	Hospital
University Of Wi Hospitals & Clinics Authority	Madison, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wildwood Family Clinic Sc	9537137484	24

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 Dorothy Jill Mallory allows following entities to bill medicare on her behalf.

Entity Name	Wildwood Family Clinic Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225115124 PECOS PAC ID: 9537137484 Enrollment ID: O20040920000493

Entity Name	Access Community Health Centers Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417055617 PECOS PAC ID: 0345153672 Enrollment ID: O20041204000065

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 Dorothy Jill 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 Dorothy Jill Mallory, MD 251 E Cottage Grove Rd, Cottage Grove, WI 53527-9619 Ph: (608) 839-3515	Dr Dorothy Jill Mallory, MD 251 E Cottage Grove Rd, Cottage Grove, WI 53527-9619 Ph: (608) 839-3515

Reviews and Comments

Family Medicine Doctors in Cottage Grove, WI

Emily A Metzger, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4590 County Rd N, Cottage Grove, WI 53527 Phone: 608-839-3104 Fax: 608-839-3404
Lynda A Siewert, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 251 E Cottage Grove Rd, Cottage Grove, WI 53527 Phone: 608-839-3515
Bryan J Webster, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 251 E Cottage Grove Rd, Cottage Grove, WI 53527 Phone: 608-839-3515
Elizabeth A Fleming, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4590 County Rd N, Cottage Grove, WI 53527 Phone: 608-839-3104
Dr. Dylan Steven Ledford, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4590 County Rd N, Cottage Grove, WI 53527 Phone: 608-839-3104
Anne Niebler, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Westlawn Dr, Cottage Grove, WI 53527 Phone: 608-839-3104 Fax: 608-839-3404
Dr. Jason A Hampton, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 251 E Cottage Grove Rd, Cottage Grove, WI 53527 Phone: 608-839-3515 Fax: 608-839-3541

Dr Dorothy Jill Mallory, MD - Medicare Family Practice in Cottage Grove, WI