Mrs Mallory Smith, NP - Medicare Nurse Practitioner in Shaw Afb, SC

  1. Home
  2. Nurse Practitioner
  3. SC
  4. Shaw Afb
Mrs Mallory Smith, NP is a medicare enrolled "Nurse Practitioner - Primary Care" in Shaw Afb, South Carolina. She graduated from nursing school in 2017 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Tandem Health Sc and her current practice location is 420 Polifka Dr, Shaw Afb, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 895-2273.

Mrs Mallory Smith is licensed to practice in South Carolina (license number 26148) 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 1003533357.

Contact Information

Mrs Mallory Smith, NP
420 Polifka Dr,
Shaw Afb, SC 29152-5100
(803) 895-2273
Not Available

Map and Direction




Provider's Profile

Full NameMrs Mallory Smith
GenderFemale
SpecialityNurse Practitioner
Experience9 Years
Location420 Polifka Dr, Shaw Afb, South Carolina
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:
  • Mrs Mallory Smith graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1003533357
  • Provider Enumeration Date: 10/26/2022
  • Last Update Date: 02/23/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 9436521390
  • Enrollment ID: I20230202002696

Medical Identifiers

Medical identifiers for Mrs Mallory Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003533357NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP2300XNurse Practitioner - Primary Care 26148 (South Carolina)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Tandem Health Sc387057585532

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 Smith allows following entities to bill medicare on her behalf.
Entity NameTandem Health SC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386630192
PECOS PAC ID: 3870575855
Enrollment ID: O20040603000514

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 Smith 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
Mrs Mallory Smith, NP
420 Polifka Dr,
Shaw Afb, SC 29152-5100

Ph: (803) 895-6356		Mrs Mallory Smith, NP
420 Polifka Dr,
Shaw Afb, SC 29152-5100

Ph: (803) 895-2273

Reviews and Comments


Nurse Practitioner Nurses in Shaw Afb, SC

Jacqueline Mintz, ARNP-FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 524 Nelson Ave, Shaw Afb, SC 29152
Phone: 706-495-6612    
Lorraine Rivero, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 420 Polifka Dr, Shaw Afb, SC 29152
Phone: 843-895-6449    
Dr. Leslie Marie Filler, DNP, APRN, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 420 Polifka Dr Bldg 1042, Shaw Afb, SC 29152
Phone: 803-895-6425    
Kimberly Marie Shanks, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 431 Meadowlark Rd, Shaw Afb, SC 29152
Phone: 803-895-6592    
Veronica Levette Stukes, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 420 Polifka Dr, Shaw Afb, SC 29152
Phone: 803-895-6356    
Naomi Christine Torrance, ANP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 420 Polifka Dr, Shaw Afb, SC 29152
Phone: 803-895-6356    
Kyra Brooks, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 510 Nelson Ave # 52420, Shaw Afb, SC 29152
Phone: 877-322-5972    

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.