Mary Mallory, NP - Medicare Nurse Practitioner in Annandale, VA

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Mary Mallory, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Annandale, Virginia. She graduated from nursing school in 2017 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mid-atlantic Post Acute And Long Term Care Pllc, Se Virginia Value Based Care Llc and her current practice location is 7202 Poplar St Ste E, Annandale, Virginia. You can reach out to her office (for appointments etc.) via phone at (571) 830-6195.

Mary Mallory is licensed to practice in Virginia (license number 0024174999) 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 1629587530.

Contact Information

Mary Mallory, NP
7202 Poplar St Ste E,
Annandale, VA 22003-3025
(571) 830-6195
Not Available

Map and Direction




Provider's Profile

Full NameMary Mallory
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location7202 Poplar St Ste E, Annandale, Virginia
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:
  • Mary Mallory graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1629587530
  • Provider Enumeration Date: 09/22/2017
  • Last Update Date: 07/22/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 1951667450
  • Enrollment ID: I20171201000098

Medical Identifiers

Medical identifiers for Mary Mallory such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629587530NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LG0600XNurse Practitioner - Gerontology 0024174999 (Virginia)Secondary
363LA2200XNurse Practitioner - Adult Health 0024174999 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Bon Secours Maryview Medical CenterPortsmouth, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mid-atlantic Post Acute And Long Term Care Pllc0648530782104
Se Virginia Value Based Care Llc6103288170125

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. Mary Mallory allows following entities to bill medicare on her behalf.
Entity NamePrivia Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013042480
PECOS PAC ID: 4385682061
Enrollment ID: O20140603000011
Entity NameMid-atlantic Post Acute & Long Term Care Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225557556
PECOS PAC ID: 0648530782
Enrollment ID: O20180209000313
Entity NameSe Virginia Value Based Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225720501
PECOS PAC ID: 6103288170
Enrollment ID: O20230809000204

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. Mary Mallory 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
Mary Mallory, NP
900 Mountain Laurel Trl,
Virginia Beach, VA 23454-3552

Ph: () -		Mary Mallory, NP
7202 Poplar St Ste E,
Annandale, VA 22003-3025

Ph: (571) 830-6195

Reviews and Comments


Nurse Practitioner Nurses in Annandale, VA

Dr. James Gavin Wallace-mercado, DNP, MSN, FNP-C
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Stacey L Merritt Baker, PNP
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Rachel Schwartz,
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Practice Location: 7305 Beverly Manor Dr, Annandale, VA 22003
Phone: 703-869-2645    
Mrs. Mary Patricia White, NP
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Medicare: Not Enrolled in Medicare
Practice Location: 7611 Little River Tpke, Suite 108, Annandale, VA 22003
Phone: 703-658-7060    Fax: 703-658-3150
Brenda Holbrook, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4405 Roberts Ave, Annandale, VA 22003
Phone: 703-914-1055    
Nvard Hovsepyan,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 7132 Degroff Ct, Annandale, VA 22003
Phone: 571-265-5851    

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.