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

Dr William J Mallory, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Green Bay, Wisconsin. He went to University Of Wisconsin School Of Medicine and graduated in 1978 and has 46 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Gbr Sheboygan Llc, Green Bay Radiology Sc, St Vincent Hospital-hospital Sisters-third Order Of St Francis, St. Nicholas Hospital-sisters Of The Third Order Of St Francis and 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 accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and 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 Name	Dr William J Mallory
Gender	Male
Speciality	Diagnostic Radiology
Experience	46 Years
Location	2941 S Ridge Rd, Green Bay, Wisconsin
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr William J Mallory attended and graduated from University Of Wisconsin School Of Medicine in 1978

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.

Identifier	Type	State	Issuer
1083630776	NPI	-	NPPES
31370200	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	22719-020 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Vincent Hospital	Green bay, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Gbr Sheboygan Llc	1951341064	21
Green Bay Radiology Sc	7113908310	22
St Vincent Hospital-hospital Sisters-third Order Of St Francis	5799694675	562
St. Nicholas Hospital-sisters Of The Third Order Of St Francis	8325931652	150

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 Name	St. Nicholas Hospital-sisters Of The Third Order Of St Francis
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275799413 PECOS PAC ID: 8325931652 Enrollment ID: O20040202001172

Entity Name	Green Bay Radiology Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447327986 PECOS PAC ID: 7113908310 Enrollment ID: O20040525000803

Entity Name	Gbr Sheboygan Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467529917 PECOS PAC ID: 1951341064 Enrollment ID: O20050509000490

Entity Name	St Vincent Hospital-hospital Sisters-third Order Of St Francis
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285613638 PECOS PAC ID: 5799694675 Enrollment ID: O20080620000423

Entity Name	Riverside Radiology And Interventional Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI 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 Address	Practice 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

George X Zaleski, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1789 Shawano Ave, Green Bay, WI 54303 Phone: 920-499-1428
Dr. Nami P Zarvan, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2941 S Ridge Rd, Green Bay, WI 54304 Phone: 920-336-4096 Fax: 920-336-8093
Sally Schlise, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 835 S Van Buren St, Green Bay, WI 54301 Phone: 920-433-8184
Dr. Jeremy Boone Mccue, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2941 S Ridge Rd, Green Bay, WI 54304 Phone: 920-336-4096 Fax: 920-336-8093
William L Hingtgen, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1789 Shawano, Green Bay, WI 54303 Phone: 920-499-1428 Fax: 920-499-5808
Dr. James I Sladky, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2941 S Ridge Rd, Green Bay, WI 54304 Phone: 920-336-4096 Fax: 920-336-8093
Patrick M Carrigan, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1789 Shawano Ave, Green Bay, WI 54303 Phone: 920-499-1428 Fax: 920-499-5808

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