Dr Mallory Leblanc Pfaffly, MD is a medicare enrolled "General Practice" physician in Micanopy, Florida. Her current practice location is
504 Ne Cholokka Blvd, Micanopy, Florida. You can reach out to her office (for appointments etc.) via phone at
(352) 619-9526.
Dr Mallory Leblanc Pfaffly is licensed to practice in Florida (license number ME177427) 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 1881446052.
Physician's Profile
| Full Name | Dr Mallory Leblanc Pfaffly |
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| Gender | Female |
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| Speciality | General Practice |
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| Location | 504 Ne Cholokka Blvd, Micanopy, Florida |
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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: 1881446052
- Provider Enumeration Date: 04/02/2024
- Last Update Date: 03/31/2026
Medicare PECOS Information:
- PECOS PAC ID: 5193252302
- Enrollment ID: I20241230003548
Medical Identifiers
Medical identifiers for Dr Mallory Leblanc Pfaffly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1881446052 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208D00000X | General Practice | ME177427 (Florida) | Primary |
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 Leblanc Pfaffly 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 Leblanc Pfaffly, MD 504 Ne Cholokka Blvd, Micanopy, FL 32667-4109 Ph: (352) 619-9526 | Dr Mallory Leblanc Pfaffly, MD 504 Ne Cholokka Blvd, Micanopy, FL 32667-4109 Ph: (352) 619-9526 |
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