Mallory C Blankenberger, PA-C - Medicare Physician Assistant in Lafayette, IN

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Mallory C Blankenberger, PA-C is a medicare enrolled "Physician Assistant" in Lafayette, Indiana. She graduated from nursing school in 2017 and has 9 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Cardiothoracic Surgeons Inc, Iu Health Medical Group Llc and her current practice location is 5165 Mccarty Lane, Lafayette, Indiana. You can reach out to her office (for appointments etc.) via phone at (800) 899-8448.

Mallory C Blankenberger is licensed to practice in Indiana (license number 10002240A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1104348044.

Contact Information

Mallory C Blankenberger, PA-C
5165 Mccarty Lane,
Lafayette, IN 47905-8764
(800) 899-8448
Not Available

Map and Direction




Provider's Profile

Full NameMallory C Blankenberger
GenderFemale
SpecialityPhysician Assistant
Experience9 Years
Location5165 Mccarty Lane, Lafayette, Indiana
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mallory C Blankenberger graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1104348044
  • Provider Enumeration Date: 07/12/2017
  • Last Update Date: 05/15/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 4385914373
  • Enrollment ID: I20170725000571

Medical Identifiers

Medical identifiers for Mallory C Blankenberger such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104348044NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 10002240A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Indiana University HealthIndianapolis, INHospital
Indiana University Health Arnett HospitalLafayette, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cardiothoracic Surgeons Inc872903396466
Iu Health Medical Group Llc96386179134382

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 C Blankenberger allows following entities to bill medicare on her behalf.
Entity NameLafayette Emergency Care PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861447211
PECOS PAC ID: 9830189240
Enrollment ID: O20040517001198
Entity NameIndiana University Health Care Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902032832
PECOS PAC ID: 5799755864
Enrollment ID: O20040727000955
Entity NameCardiothoracic Surgeons Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770796096
PECOS PAC ID: 8729033964
Enrollment ID: O20050321000528
Entity NameIu Health Medical Group, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326893777
PECOS PAC ID: 9638617913
Enrollment ID: O20240817000533

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 C Blankenberger 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 C Blankenberger, PA-C
250 N Shadeland Ave,
Indianapolis, IN 46219-4959

Ph: Not Available		Mallory C Blankenberger, PA-C
5165 Mccarty Lane,
Lafayette, IN 47905-8764

Ph: (800) 899-8448

Reviews and Comments


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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.