Mrs Mallory Lyn Earthman, APRN in Denison, TX

Mrs Mallory Lyn Earthman, APRN is a medicare enrolled "Nurse Practitioner" in Denison, Texas. Her current practice location is 5016 Us Hwy 75, Denison, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 416-4100.

Mrs Mallory Lyn Earthman is licensed to practice in Texas (license number 1057092) 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 1912660762.

Contact Information

	Mrs Mallory Lyn Earthman, APRN
	5016 Us Hwy 75, Denison, TX 75020-4584
	(903) 416-4100
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Mallory Lyn Earthman
Gender	Female
Speciality	Nurse Practitioner
Location	5016 Us Hwy 75, Denison, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912660762
Provider Enumeration Date: 10/19/2021
Last Update Date: 10/19/2021

Medicare PECOS Information:

PECOS PAC ID: 3476942442
Enrollment ID: I20211112000509

Medical Identifiers

Medical identifiers for Mrs Mallory Lyn Earthman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912660762	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	1057092 (Texas)	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. Mrs Mallory Lyn Earthman allows following entities to bill medicare on her behalf.

Entity Name	Texoma Emergency Physicians Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871880211 PECOS PAC ID: 1052583010 Enrollment ID: O20111017000630

Entity Name	Tep Select Emergency Specialists Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578125217 PECOS PAC ID: 1850623331 Enrollment ID: O20191102000016

Entity Name	Level One Emergency Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528790193 PECOS PAC ID: 7810371044 Enrollment ID: O20220907000904

Entity Name	Level One Emergency Specialists Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427780097 PECOS PAC ID: 0941684179 Enrollment ID: O20220907001111

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. Mrs Mallory Lyn Earthman 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
Mrs Mallory Lyn Earthman, APRN 5016 Us Hwy 75, Denison, TX 75020-4584 Ph: (903) 416-4100	Mrs Mallory Lyn Earthman, APRN 5016 Us Hwy 75, Denison, TX 75020-4584 Ph: (903) 416-4100

Reviews and Comments

Nurse Practitioner Nurses in Denison, TX

Quyen Johnson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3126 W Fm 120, Denison, TX 75020 Phone: 903-416-7544 Fax: 903-416-7545
Ms. Rachel Elizabeth Kerns, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 900 N Armstrong Ave, Denison, TX 75020 Phone: 903-465-2440
Connie Joan Heard, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 900 North Armstrong, Denison, TX 75020 Phone: 903-465-2440 Fax: 903-465-2298
Mrs. Theresa Danielle Englutt, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5012 S Us Highway 75 Ste 200, Denison, TX 75020 Phone: 903-465-5012
Cristi A Williams, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5012 S Us Hwy 75, Suite 300, Denison, TX 75020 Phone: 903-416-6010 Fax: 903-416-6183
Jessica Marie Kent, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5016 Us Hwy 75, Denison, TX 75020 Phone: 903-416-4000
Mr. Jorge Aparicio, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5016 Us Hwy 75, Denison, TX 75020 Phone: 903-416-4000

Mrs Mallory Lyn Earthman, APRN - Medicare Nurse Practitioner in Denison, TX