Mallory Alice Vig, OTR in Fosston, MN - Medicare Occupational Therapist Provider

Mallory Alice Vig, OTR is a medicare enrolled "Occupational Therapist" provider in Fosston, Minnesota. Her current practice location is 103 W 1st St, Fosston, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 431-0009.

Mallory Alice Vig is licensed to practice in * (Not Available) (license number ) 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 1376033357.

Contact Information

	Mallory Alice Vig, OTR
	103 W 1st St, Fosston, MN 56542
	(218) 431-0009
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mallory Alice Vig
Gender	Female
Speciality	Occupational Therapist
Location	103 W 1st St, Fosston, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376033357
Provider Enumeration Date: 05/15/2018
Last Update Date: 06/10/2025

Medicare PECOS Information:

PECOS PAC ID: 0143694737
Enrollment ID: I20230322001510

Medical Identifiers

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

Identifier	Type	State	Issuer
1376033357	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	(* (Not Available))	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. Mallory Alice Vig allows following entities to bill medicare on her behalf.

Provider Name	Pine Peak Therapy Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1982477030 PECOS PAC ID: 8820447493 Enrollment ID: O20231207001962

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 Alice Vig 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 Alice Vig, OTR Po Box 300, Fosston, MN 56542-0300 Ph: (218) 435-1210	Mallory Alice Vig, OTR 103 W 1st St, Fosston, MN 56542 Ph: (218) 431-0009

Reviews and Comments

Occupational Therapist in Fosston, MN

Jordyn M Himley, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 900 Hilligoss Blvd Se, Fosston, MN 56542 Phone: 218-435-1133 Fax: 218-435-1134
Ashlee M Lee, OTR/L, CHT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 903 Hilligoss Blvd Se, Fosston, MN 56542 Phone: 218-435-1210 Fax: 218-435-1175
Pine Peak Therapy Llc Occupational Therapist Medicare: Medicare Enrolled Practice Location: 903 Hilligoss Blvd Se, Fosston, MN 56542 Phone: 218-435-1210 Fax: 218-435-1175

Mallory Alice Vig, OTR - Medicare Occupational Therapist in Fosston, MN