Mallory Ferguson, is a
Physical Therapist based in Mound City, Missouri. Mallory Ferguson is licensed to practice in Missouri (license number 2005005090) and her current practice location is
1401 Savannah St, Mound City, Missouri. She can be reached at her office (for appointments etc.) via phone at
(402) 301-9885.
NPI number for Mallory Ferguson is 1346724176 and her current mailing address is 1401 Savannah St, Mound City, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1346724176.
Healthcare Provider's Profile
Full Name | Mallory Ferguson |
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Gender | Female |
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Speciality | Physical Therapist |
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Location | 1401 Savannah St, Mound City, Missouri |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1346724176
- Provider Enumeration Date: 09/18/2018
- Last Update Date: 11/08/2019
Medical Identifiers
Medical identifiers for Mallory Ferguson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1346724176 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | PT60868468 (Washington) | Secondary |
225100000X | Physical Therapist | 005225 (Iowa) | Secondary |
225100000X | Physical Therapist | 2005005090 (Missouri) | Primary |
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 Ferguson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mallory Ferguson, 1401 Savannah St, Mound City, MO 64470-1539 Ph: () - | Mallory Ferguson, 1401 Savannah St, Mound City, MO 64470-1539 Ph: (402) 301-9885 |
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