Mallory Martlock, DPT in Wake Forest, NC - Medicare Physical Therapist Provider

Mallory Martlock, DPT is a medicare enrolled "Physical Therapist" provider in Wake Forest, North Carolina. Her current practice location is 10560 Ligon Mill Rd Ste 109, Wake Forest, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 556-4678.

Mallory Martlock is licensed to practice in North Carolina (license number P23397) 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 1851121412.

Contact Information

	Mallory Martlock, DPT
	10560 Ligon Mill Rd Ste 109, Wake Forest, NC 27587-6090
	(919) 556-4678
	(919) 556-4619

Map and Direction

Healthcare Provider's Profile

Full Name	Mallory Martlock
Gender	Female
Speciality	Physical Therapist
Location	10560 Ligon Mill Rd Ste 109, Wake Forest, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851121412
Provider Enumeration Date: 08/07/2024
Last Update Date: 08/07/2024

Medicare PECOS Information:

PECOS PAC ID: 1557893369
Enrollment ID: I20241017004249

Medical Identifiers

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

Identifier	Type	State	Issuer
1851121412	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	P23397 (North Carolina)	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 Martlock allows following entities to bill medicare on her behalf.

Provider Name	Orthopedic Physical Therapy Associates Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1043465883 PECOS PAC ID: 7315094463 Enrollment ID: O20090407000615

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 Martlock 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 Martlock, DPT 10560 Ligon Mill Rd Ste 109, Wake Forest, NC 27587-6090 Ph: (919) 556-4678	Mallory Martlock, DPT 10560 Ligon Mill Rd Ste 109, Wake Forest, NC 27587-6090 Ph: (919) 556-4678

Reviews and Comments

Physical Therapist in Wake Forest, NC

Leigh Taylor, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10560 Ligon Mill Rd Ste 109, Wake Forest, NC 27587 Phone: 919-556-4678 Fax: 919-556-4619
Ms. Morgan Elizabeth Young, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10560 Ligon Mill Rd # 109, Wake Forest, NC 27587 Phone: 919-556-4678 Fax: 919-556-4619
Orthopedic Physical Therapy Associates, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 10560 Ligon Mill Rd, Suite 109, Wake Forest, NC 27587 Phone: 919-556-4678 Fax: 919-556-4619
Michael Holt Mcpherson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10560 Ligon Mill Rd Ste 109, Wake Forest, NC 27587 Phone: 919-556-4678 Fax: 919-556-4619
Christopher John Walters, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 843 Wake Forest Business Park, Suite 110, Wake Forest, NC 27587 Phone: 919-570-7080 Fax: 919-570-7081
Jenna Poorman, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10560 Ligon Mill Rd, Suite 109, Wake Forest, NC 27587 Phone: 919-556-4678 Fax: 919-556-4619
Kristin Marie Somerville, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2824 Rogers Rd Ste 102, Wake Forest, NC 27587 Phone: 919-229-8363 Fax: 919-229-8356

Mallory Martlock, DPT - Medicare Physical Therapist in Wake Forest, NC