Ms Janarra Kathryn Mallory-crawford, MSN, RN, AGPCNP-BC is a medicare enrolled "Nurse Practitioner - Primary Care" in Rex, Georgia. She graduated from nursing school in 2014 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is
6190 Pembroke Dr, Rex, Georgia. You can reach out to her office (for appointments etc.) via phone at
(908) 227-5047.
Ms Janarra Kathryn Mallory-crawford is licensed to practice in Georgia (license number RN223664) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1033999495.
Provider's Profile
| Full Name | Ms Janarra Kathryn Mallory-crawford |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 11 Years |
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| Location | 6190 Pembroke Dr, Rex, Georgia |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Janarra Kathryn Mallory-crawford graduated from nursing school in 2014
NPI Data:
- NPI Number: 1033999495
- Provider Enumeration Date: 10/03/2023
- Last Update Date: 10/03/2023
Medicare PECOS Information:
- PECOS PAC ID: 4183145147
- Enrollment ID: I20250306000483
Medical Identifiers
Medical identifiers for Ms Janarra Kathryn Mallory-crawford such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033999495 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LA2200X | Nurse Practitioner - Adult Health | RN223664 (Georgia) | Secondary |
| 363LC1500X | Nurse Practitioner - Community Health | RN223664 (Georgia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | RN223664 (Georgia) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | RN223664 (Georgia) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | RN223664 (Georgia) | 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. Ms Janarra Kathryn Mallory-crawford allows following entities to bill medicare on her behalf.
| Entity Name | Signify Health Medical Associates Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20200115001292 |
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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. Ms Janarra Kathryn Mallory-crawford 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 |
|---|
Ms Janarra Kathryn Mallory-crawford, MSN, RN, AGPCNP-BC
6190 Pembroke Dr,
Rex, GA 30273-1244
Ph: (908) 227-5047 | Ms Janarra Kathryn Mallory-crawford, MSN, RN, AGPCNP-BC
6190 Pembroke Dr,
Rex, GA 30273-1244
Ph: (908) 227-5047 |
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