Dr William J Mallory, MD - Medicare Radiology in Green Bay, WI

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Dr William J Mallory, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Green Bay, Wisconsin. His current practice location is 2941 S Ridge Rd, Green Bay, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 336-4096.

Dr William J Mallory is licensed to practice in Wisconsin (license number 22719-020) 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 1083630776.

Contact Information

Dr William J Mallory, MD
2941 S Ridge Rd,
Green Bay, WI 54304-5517
(920) 336-4096
(920) 336-8093

Map and Direction




Physician's Profile

Full NameDr William J Mallory
GenderMale
SpecialityRadiology - Diagnostic Radiology
Location2941 S Ridge Rd, Green Bay, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1083630776
  • Provider Enumeration Date: 07/14/2006
  • Last Update Date: 06/02/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 2769483833
  • Enrollment ID: I20070117000125

Medical Identifiers

Medical identifiers for Dr William J Mallory such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083630776NPI-NPPES
31370200MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 22719-020 (Wisconsin)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 William J Mallory allows following entities to bill medicare on his behalf.
Entity NameAurora Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427271378
PECOS PAC ID: 6709794258
Enrollment ID: O20031105000725
Entity NameLakeshore Medical Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003861188
PECOS PAC ID: 7719890730
Enrollment ID: O20031106000481
Entity NameSt. Nicholas Hospital-sisters Of The Third Order Of St Francis
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275799413
PECOS PAC ID: 8325931652
Enrollment ID: O20040202001172
Entity NameGreen Bay Radiology Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447327986
PECOS PAC ID: 7113908310
Enrollment ID: O20040525000803
Entity NameGbr Sheboygan Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467529917
PECOS PAC ID: 1951341064
Enrollment ID: O20050509000490
Entity NameAurora Advanced Healthcare, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265629133
PECOS PAC ID: 3375625833
Enrollment ID: O20080123000694
Entity NameSt Vincent Hospital-hospital Sisters-third Order Of St Francis
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285613638
PECOS PAC ID: 5799694675
Enrollment ID: O20080620000423
Entity NameRiverside Radiology And Interventional Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093718496
PECOS PAC ID: 8729976964
Enrollment ID: O20210315000375

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 William J 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 AddressPractice Location Address
Dr William J Mallory, MD
2941 S Ridge Rd,
Green Bay, WI 54304-5517

Ph: (920) 336-4096		Dr William J Mallory, MD
2941 S Ridge Rd,
Green Bay, WI 54304-5517

Ph: (920) 336-4096

Reviews and Comments


Radiology Doctors in Green Bay, WI

Dr. Nami P Zarvan, MD
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Dr. James I Sladky, MD
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Patrick M Carrigan, MD
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Phone: 920-499-1428    Fax: 920-499-5808
Alison Jean Meyer, M.D.
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Practice Location: 835 S Van Buren St, Green Bay, WI 54301
Phone: 920-496-4700    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.