Mallory Cotter, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Roscoe, Illinois. She graduated from nursing school in 2022 and has 4 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice North American Partners In Anesthesia Illinois Llc and her current practice location is
6665 W Gate Ct, Roscoe, Illinois. You can reach out to her office (for appointments etc.) via phone at
(518) 524-3221.
Mallory Cotter is licensed to practice in Illinois (license number 209025808) 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 1386380046.
Provider's Profile
| Full Name | Mallory Cotter |
|---|
| Gender | Female |
|---|
| Speciality | Certified Registered Nurse Anesthetist (crna) |
|---|
| Experience | 4 Years |
|---|
| Location | 6665 W Gate Ct, Roscoe, Illinois |
|---|
| Accepts Medicare Assignments | Yes. 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 Cotter graduated from nursing school in 2022
NPI Data:
- NPI Number: 1386380046
- Provider Enumeration Date: 05/06/2022
- Last Update Date: 08/27/2022
Medicare PECOS Information:
- PECOS PAC ID: 2668857293
- Enrollment ID: I20220919002260
Medical Identifiers
Medical identifiers for Mallory Cotter such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386380046 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 041477774 (Illinois) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 209025808 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| North American Partners In Anesthesia Illinois Llc | 1052576519 | 314 |
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 Cotter allows following entities to bill medicare on her behalf.
| Entity Name | North American Partners In Anesthesia Illinois Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1699032524
PECOS PAC ID: 1052576519
Enrollment ID: O20120706000534 |
|---|
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 Cotter 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 Cotter,
6665 W Gate Ct,
Roscoe, IL 61073-9642
Ph: () - | Mallory Cotter,
6665 W Gate Ct,
Roscoe, IL 61073-9642
Ph: (518) 524-3221 |
Reviews and Comments