Mallory Parker, PA-C in West Columbia, SC - Medicare Physician Assistant

Mallory Parker, PA-C is a medicare enrolled "Physician Assistant" in West Columbia, South Carolina. Her current practice location is 2720 Sunset Blvd, West Columbia, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 791-2480.

Mallory Parker is licensed to practice in South Carolina (license number 2584) 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 1033589080.

Contact Information

	Mallory Parker, PA-C
	2720 Sunset Blvd, West Columbia, SC 29169-4810
	(803) 791-2480
	(803) 936-4102

Map and Direction

Provider's Profile

Full Name	Mallory Parker
Gender	Female
Speciality	Physician Assistant
Location	2720 Sunset Blvd, West Columbia, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033589080
Provider Enumeration Date: 10/03/2015
Last Update Date: 08/26/2026

Medicare PECOS Information:

PECOS PAC ID: 6406165935
Enrollment ID: I20170104000960

Medical Identifiers

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

Identifier	Type	State	Issuer
1033589080	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA68029 (California)	Secondary
363A00000X	Physician Assistant	7774 (Georgia)	Secondary
363A00000X	Physician Assistant	2584 (South Carolina)	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. Mallory Parker allows following entities to bill medicare on her behalf.

Entity Name	Medcare Express - North Charleston Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457579617 PECOS PAC ID: 7618074899 Enrollment ID: O20070523000200

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 Parker 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
Mallory Parker, PA-C 470 Hulon Ln, West Columbia, SC 29169-4841 Ph: (803) 791-2480	Mallory Parker, PA-C 2720 Sunset Blvd, West Columbia, SC 29169-4810 Ph: (803) 791-2480

Reviews and Comments

Physician Assistant Nurses in West Columbia, SC

Amanda J Thompson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 146 E Hospital Dr Ste 400, West Columbia, SC 29169 Phone: 803-936-3300
Hannah Marie O'quinn, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2728 Sunset Blvd Ste 300, West Columbia, SC 29169 Phone: 803-744-4900 Fax: 803-744-4938
Rebecca Leipner, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 110 Medical Cir, West Columbia, SC 29169 Phone: 803-509-7316
Sarah Barrett Ekman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 131 Summerplace Dr, West Columbia, SC 29169 Phone: 803-794-4585 Fax: 803-796-8924
Evelyn Fitz, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 17 Cherry Ln, West Columbia, SC 29170 Phone: 803-260-2716
Victor Anselmo Gomez, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2728 Sunset Blvd Ste 400, West Columbia, SC 29169 Phone: 803-936-7095 Fax: 803-936-7908

Mallory Parker, PA-C - Medicare Physician Assistant in West Columbia, SC