Mallory Roberson, NP in Cullman, AL - Medicare Nurse Practitioner

Mallory Roberson, NP is a medicare enrolled "Nurse Practitioner - Gerontology" in Cullman, Alabama. She graduated from nursing school in 2016 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Boulder Care Provider Group Pa, Boulder Care Provider Group Pa and her current practice location is 1701 Main Ave Sw, Suite E, Cullman, Alabama. You can reach out to her office (for appointments etc.) via phone at (256) 531-9213.

Mallory Roberson is licensed to practice in Alabama (license number 1-131922) 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 1134661440.

Contact Information

	Mallory Roberson, NP
	1701 Main Ave Sw, Suite E, Cullman, AL 35055-5299
	(256) 531-9213
	Not Available

Map and Direction

Provider's Profile

Full Name	Mallory Roberson
Gender	Female
Speciality	Nurse Practitioner
Experience	9 Years
Location	1701 Main Ave Sw, Cullman, Alabama
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 Roberson graduated from nursing school in 2016

NPI Data:

NPI Number: 1134661440
Provider Enumeration Date: 11/17/2016
Last Update Date: 10/16/2024

Medicare PECOS Information:

PECOS PAC ID: 8224319066
Enrollment ID: I20241009000574

Medical Identifiers

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

Identifier	Type	State	Issuer
1134661440	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	1-131922 (Alabama)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Boulder Care Provider Group Pa	6901217447	59
Boulder Care Provider Group Pa	6901217447	59

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 Roberson allows following entities to bill medicare on her behalf.

Entity Name	Boulder Care Provider Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649838590 PECOS PAC ID: 6901217447 Enrollment ID: O20221109002655

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 Roberson 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 Roberson, NP 1701 Main Ave Sw, Suite E, Cullman, AL 35055-5299 Ph: (256) 531-9213	Mallory Roberson, NP 1701 Main Ave Sw, Suite E, Cullman, AL 35055-5299 Ph: (256) 531-9213

Reviews and Comments

Nurse Practitioner Nurses in Cullman, AL

Katie Yeager Plourd, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 212 4th Ave Se, Suite 300, Cullman, AL 35055 Phone: 205-271-8312 Fax: 205-329-7455
Christopher Michael Kelsey, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1912 Al Highway 157, Cullman, AL 35058 Phone: 256-737-2095 Fax: 256-737-2097
Jennifer Lynn Anderson, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1800 Al Highway 157 Ste 101, Cullman, AL 35058 Phone: 256-739-4131 Fax: 256-739-6027
Nancy Lynn Mitchell, APRN FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3020 Co Rd 1670, Cullman, AL 35058 Phone: 480-241-2252
Stacey S Varden, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1890 Al Highway 157 Ste 300, Cullman, AL 35058 Phone: 256-737-8000 Fax: 256-737-8058
Erika Lancaster, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 503 Clark St Ne, Cullman, AL 35055 Phone: 256-739-0801
Mrs. Melanie Beth Walker, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1800 Al Highway 157 Ste 100, Cullman, AL 35058 Phone: 256-736-5505 Fax: 256-736-5551

Mallory Roberson, NP - Medicare Nurse Practitioner in Cullman, AL