Dr Nicole Christine Mallory, MD in Long Branch, NJ

Dr Nicole Christine Mallory, MD is a medicare enrolled "Pediatrics - Pediatric Hematology-oncology" physician in Long Branch, New Jersey. Her current practice location is 300 2nd Ave, Long Branch, New Jersey. You can reach out to her office (for appointments etc.) via phone at (732) 923-7455.

Dr Nicole Christine Mallory is licensed to practice in New Jersey (license number 25MA10637200) 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 1275809741.

Contact Information

	Dr Nicole Christine Mallory, MD
	300 2nd Ave, Long Branch, NJ 07740-6303
	(732) 923-7455
	(732) 923-7451

Map and Direction

Physician's Profile

Full Name	Dr Nicole Christine Mallory
Gender	Female
Speciality	Pediatrics - Pediatric Hematology-oncology
Location	300 2nd Ave, Long Branch, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275809741
Provider Enumeration Date: 03/28/2012
Last Update Date: 09/06/2022

Medicare PECOS Information:

PECOS PAC ID: 9739492372
Enrollment ID: I20220513001457

Medical Identifiers

Medical identifiers for Dr Nicole Christine Mallory such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275809741	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	25MA10637200 (New Jersey)	Secondary
2080P0207X	Pediatrics - Pediatric Hematology-oncology	25MA10637200 (New Jersey)	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 Nicole Christine Mallory allows following entities to bill medicare on her behalf.

Entity Name	New York University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285826438 PECOS PAC ID: 1355232422 Enrollment ID: O20090822000026

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 Nicole Christine 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 Nicole Christine Mallory, MD 300 2nd Ave, Long Branch, NJ 07740-6303 Ph: (732) 923-7455	Dr Nicole Christine Mallory, MD 300 2nd Ave, Long Branch, NJ 07740-6303 Ph: (732) 923-7455

Reviews and Comments

Pediatrics Doctors in Long Branch, NJ

Dr. Kirby Douglas Rekedal, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 2nd Ave, Long Branch, NJ 07740 Phone: 732-923-6860
Amit C Misra, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Second Avenue, Long Branch, NJ 07740 Phone: 732-923-8600
Dr. Richard J Degroote Ii, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 300 2nd Ave, Long Branch, NJ 07740 Phone: 732-923-7100 Fax: 732-923-7104
Tina Susanne Rakitt, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 279 3rd Ave, Suite 101, Long Branch, NJ 07740 Phone: 732-923-6080 Fax: 732-923-6083
Imtiaz Ahmed, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 2nd Ave, Long Branch, NJ 07740 Phone: 610-400-5782
Dr. Danielle Denise Amona, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 300 2nd Ave, Long Branch, NJ 07740 Phone: 732-222-5200
Dr. Thomas Habib, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 255 3rd Ave, Long Branch, NJ 07740 Phone: 732-222-7006

Dr Nicole Christine Mallory, MD - Medicare Pediatrics in Long Branch, NJ