Dr Mallory Andrew Lawrence, MD is a medicare enrolled "Colon & Rectal Surgery" physician in Augusta, Georgia. His current practice location is
1348 Walton Way, Suite 6500, Augusta, Georgia. You can reach out to his office (for appointments etc.) via phone at
(706) 722-2118.
Dr Mallory Andrew Lawrence is licensed to practice in Georgia (license number 026578) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1790868065.
Physician's Profile
| Full Name | Dr Mallory Andrew Lawrence |
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| Gender | Male |
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| Speciality | Colon & Rectal Surgery |
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| Location | 1348 Walton Way, Augusta, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1790868065
- Provider Enumeration Date: 10/23/2006
- Last Update Date: 02/15/2010
Medicare PECOS Information:
- PECOS PAC ID: 6204910318
- Enrollment ID: I20200930002571
Medical Identifiers
Medical identifiers for Dr Mallory Andrew Lawrence such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1790868065 | NPI | - | NPPES |
| 4140381 | Other | GA | AETNA |
| G26578 | Medicaid | SC | |
| 00399517A | Medicaid | GA | |
| 1621144003 | Other | GA | CIGNA |
| 2089751 | Other | GA | AETNA HMO |
| 1621144004 | Other | GA | CIGNA HMO |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208C00000X | Colon & Rectal Surgery | 026578 (Georgia) | 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 Mallory Andrew Lawrence allows following entities to bill medicare on his behalf.
| Entity Name | Beulah Grove Community Resource Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558544684 PECOS PAC ID: 3779471743 Enrollment ID: O20040310000432 |
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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 Mallory Andrew Lawrence 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 Mallory Andrew Lawrence, MD 1348 Walton Way, Suite 6500, Augusta, GA 30901-5104 Ph: (706) 722-2118 | Dr Mallory Andrew Lawrence, MD 1348 Walton Way, Suite 6500, Augusta, GA 30901-5104 Ph: (706) 722-2118 |
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