Mallory Alexis Freeman, APRN - Medicare Nurse Practitioner in East Berlin, CT

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Mallory Alexis Freeman, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in East Berlin, Connecticut. Her current practice location is 1224 Mill St, East Berlin, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 348-5650.

Mallory Alexis Freeman is licensed to practice in Connecticut (license number 10018) 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 1255009056.

Contact Information

Mallory Alexis Freeman, APRN
1224 Mill St,
East Berlin, CT 06023-1159
(860) 348-5650
(860) 855-7708

Map and Direction




Provider's Profile

Full NameMallory Alexis Freeman
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location1224 Mill St, East Berlin, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1255009056
  • Provider Enumeration Date: 09/06/2021
  • Last Update Date: 02/03/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 2567850928
  • Enrollment ID: I20211104000523

Medical Identifiers

Medical identifiers for Mallory Alexis Freeman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255009056NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 10018 (Connecticut)Primary
163W00000XRegistered Nurse 126588 (Connecticut)Secondary
363LF0000XNurse Practitioner - Family 10018 (Connecticut)Secondary

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. Mallory Alexis Freeman allows following entities to bill medicare on her behalf.
Entity NameCommunity Health Resources, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215979810
PECOS PAC ID: 5597652149
Enrollment ID: O20040301000155
Entity NameIntercommunity Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073548533
PECOS PAC ID: 9032001649
Enrollment ID: O20040329000218
Entity NameHarvest Healthcare Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477712917
PECOS PAC ID: 9931276979
Enrollment ID: O20080917000499
Entity NameLivwell Pain Management Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942866793
PECOS PAC ID: 3476883265
Enrollment ID: O20190920001641
Entity NameWct Behavioral Health & Medication Management Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285391474
PECOS PAC ID: 8820480734
Enrollment ID: O20220126000469
Entity NameHealthfair Plus Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376973461
PECOS PAC ID: 2365668720
Enrollment ID: O20220307000909

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. Mallory Alexis Freeman 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
Mallory Alexis Freeman, APRN
9 Arnold Dr,
East Hartford, CT 06108-2909

Ph: (860) 348-5650		Mallory Alexis Freeman, APRN
1224 Mill St,
East Berlin, CT 06023-1159

Ph: (860) 348-5650

Reviews and Comments


Nurse Practitioner Nurses in East Berlin, CT

Hye Sil Adams, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1224 Mill Street, Building B, Suite 224, East Berlin, CT 06023
Phone: 860-365-9479    Fax: 878-201-5398
Katarzyna Politowski, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 108 Berlin St, East Berlin, CT 06023
Phone: 860-550-3772    

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.