Grant W Mallory, MD in Fort Sam Houston, TX

Grant W Mallory, MD is a medicare enrolled "Neurological Surgery" physician in Fort Sam Houston, Texas. He went to Georgetown University School Of Medicine and graduated in 2009 and has 15 years of diverse experience with area of expertise as Neurosurgery. He is a member of the group practice Acute Care Surgical Affiliates Of Texas Pa, Mayo Clinic Health System-northwest Wisconsin Region Inc and his current practice location is 3551 Roger Brooke Dr, Fort Sam Houston, Texas. You can reach out to his office (for appointments etc.) via phone at (210) 916-3482.

Grant W Mallory is licensed to practice in Minnesota (license number 53091) 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 1568690477.

Contact Information

	Grant W Mallory, MD
	3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504
	(210) 916-3482
	Not Available

Map and Direction

Physician's Profile

Full Name	Grant W Mallory
Gender	Male
Speciality	Neurosurgery
Experience	15 Years
Location	3551 Roger Brooke Dr, Fort Sam Houston, Texas
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:

Grant W Mallory attended and graduated from Georgetown University School Of Medicine in 2009

NPI Data:

NPI Number: 1568690477
Provider Enumeration Date: 06/30/2009
Last Update Date: 03/28/2023

Medicare PECOS Information:

PECOS PAC ID: 4284829565
Enrollment ID: I20180427001227

Medical Identifiers

Medical identifiers for Grant W Mallory such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568690477	NPI	-	NPPES
ENROLLED	Medicaid	MN
ENROLLED	Medicaid	IA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207T00000X	Neurological Surgery	81713 (Wisconsin)	Secondary
207T00000X	Neurological Surgery	100503 (Wisconsin)	Secondary
207T00000X	Neurological Surgery	53091 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mayo Clinic Health System Eau Claire Hospital	Eau claire, WI	Hospital
Christus Spohn Hospital Corpus Christi	Corpus christi, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Acute Care Surgical Affiliates Of Texas Pa	9931446481	20
Mayo Clinic Health System-northwest Wisconsin Region Inc	4385553627	623

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. Grant W Mallory allows following entities to bill medicare on his behalf.

Entity Name	Providence Health Alliance
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932210838 PECOS PAC ID: 6305731068 Enrollment ID: O20040220000307

Entity Name	Neurosurgical Associates Of San Antonio, P.a.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447295753 PECOS PAC ID: 9638151954 Enrollment ID: O20040602000176

Entity Name	Acute Care Surgical Affiliates Of Texas Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407322415 PECOS PAC ID: 9931446481 Enrollment ID: O20190123000295

Entity Name	Neurosurgical Affiliates Of Texas Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437935137 PECOS PAC ID: 1153779137 Enrollment ID: O20231201000598

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. Grant W 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
Grant W Mallory, MD 6401 France Avenue South, Edina, MN 55435-2104 Ph: (612) 672-2294	Grant W Mallory, MD 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 Ph: (210) 916-3482

Reviews and Comments

Neurological Surgery Doctors in Fort Sam Houston, TX

Dr. Ian S. Mcdougall, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582
Geoffrey William Peitz, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-3482
Victor Sabourin, Neurological Surgery Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582
Ryan Patrick Morton, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 574-847-9065

Grant W Mallory, MD - Medicare Neurosurgery in Fort Sam Houston, TX