Luke T Mallory, DPT is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Rathdrum, Idaho. He graduated from medical school in 2024 and has 1 years of diverse experience with area of expertise as Physical Therapist In Private Practice. He is a member of the group practice River City Physical Therapy, Lakeland Physical Therapy And Sports Injuries P.a. and his current practice location is
16658 N Highway 41, Rathdrum, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 687-9195.
Luke T Mallory is licensed to practice in Idaho (license number PT-8974) 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 1417712589.
Physician's Profile
| Full Name | Luke T Mallory |
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| Gender | Male |
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| Speciality | Physical Therapist In Private Practice |
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| Experience | 1 Years |
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| Location | 16658 N Highway 41, Rathdrum, Idaho |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Luke T Mallory graduated from medical school in 2024
NPI Data:
- NPI Number: 1417712589
- Provider Enumeration Date: 02/19/2024
- Last Update Date: 02/27/2024
Medicare PECOS Information:
- PECOS PAC ID: 4486099256
- Enrollment ID: I20240302000247
Medical Identifiers
Medical identifiers for Luke T Mallory such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1417712589 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | PT-8974 (Idaho) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| River City Physical Therapy | 4688662083 | 5 |
| Lakeland Physical Therapy And Sports Injuries P.a. | 9537158787 | 5 |
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. Luke T Mallory allows following entities to bill medicare on his behalf.
| Entity Name | Lakeland Physical Therapy And Sports Injuries P.a. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083896674
PECOS PAC ID: 9537158787
Enrollment ID: O20040511001525 |
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| Entity Name | River City Physical Therapy |
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| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Entity Identifiers | NPI Number: 1134149941
PECOS PAC ID: 4688662083
Enrollment ID: O20040513000109 |
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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. Luke T 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 |
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Luke T Mallory, DPT
16658 N Highway 41,
Rathdrum, ID 83858-6890
Ph: (208) 687-9195 | Luke T Mallory, DPT
16658 N Highway 41,
Rathdrum, ID 83858-6890
Ph: (208) 687-9195 |
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