Mallory Stephens Tatum, PA - Medicare Physician Assistant in Lakeland, TN

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Mallory Stephens Tatum, PA is a medicare enrolled "Physician Assistant" in Lakeland, Tennessee. Her current practice location is 9160 Highway 64 Ste 105, Lakeland, Tennessee. You can reach out to her office (for appointments etc.) via phone at (901) 213-0100.

Mallory Stephens Tatum is licensed to practice in Tennessee (license number 3352) 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 1467978403.

Contact Information

Mallory Stephens Tatum, PA
9160 Highway 64 Ste 105,
Lakeland, TN 38002-3011
(901) 213-0100
(901) 213-0101

Map and Direction




Provider's Profile

Full NameMallory Stephens Tatum
GenderFemale
SpecialityPhysician Assistant
Location9160 Highway 64 Ste 105, Lakeland, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1467978403
  • Provider Enumeration Date: 08/22/2017
  • Last Update Date: 03/26/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 0840564506
  • Enrollment ID: I20170928002449

Medical Identifiers

Medical identifiers for Mallory Stephens Tatum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467978403NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 3352 (Tennessee)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 Stephens Tatum allows following entities to bill medicare on her behalf.
Entity NameMid-south Imaging & Therapeutics, P.A.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043260763
PECOS PAC ID: 9133106396
Enrollment ID: O20040706000767
Entity NameT M Carr MD PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992706097
PECOS PAC ID: 3375504913
Enrollment ID: O20041026000787
Entity NameCarr, PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548677610
PECOS PAC ID: 1850512153
Enrollment ID: O20141030001974
Entity NameHometown Urgent Care of Dyersburg, PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003318593
PECOS PAC ID: 8820349202
Enrollment ID: O20180924003434
Entity NameMethodist University Emergency Physicians PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023899291
PECOS PAC ID: 4981052719
Enrollment ID: O20231204003274
Entity NameGermantown Emergency Physicians, PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518747526
PECOS PAC ID: 7214386812
Enrollment ID: O20231207003122
Entity NameMethodist North Emergency Physicians, PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801677083
PECOS PAC ID: 0941659247
Enrollment ID: O20231212002784
Entity NameMethodist South Emergency Physicians, PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609657873
PECOS PAC ID: 6406205608
Enrollment ID: O20231213002628

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 Stephens Tatum 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 Stephens Tatum, PA
8016 Ellis Rd,
Bartlett, TN 38133-2806

Ph: (662) 322-9442		Mallory Stephens Tatum, PA
9160 Highway 64 Ste 105,
Lakeland, TN 38002-3011

Ph: (901) 213-0100

Reviews and Comments



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.