Mallory Matteo, in Richland, WA - Medicare Physical Therapist Provider

Mallory Matteo, is a medicare enrolled "Physical Therapist" provider in Richland, Washington. Her current practice location is 1908 George Washington Way Ste B, Richland, Washington. You can reach out to her office (for appointments etc.) via phone at (509) 375-1015.

Mallory Matteo is licensed to practice in Washington (license number PT6975244) 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 1205213451.

Contact Information

	Mallory Matteo,
	1908 George Washington Way Ste B, Richland, WA 99354-2386
	(509) 375-1015
	(509) 375-1381

Map and Direction

Healthcare Provider's Profile

Full Name	Mallory Matteo
Gender	Female
Speciality	Physical Therapist
Location	1908 George Washington Way Ste B, Richland, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205213451
Provider Enumeration Date: 04/27/2015
Last Update Date: 07/19/2019

Medicare PECOS Information:

PECOS PAC ID: 0749578128
Enrollment ID: I20220216001610

Medical Identifiers

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

Identifier	Type	State	Issuer
1205213451	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	009674 (Connecticut)	Secondary
225100000X	Physical Therapist	PT6975244 (Washington)	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 Matteo allows following entities to bill medicare on her behalf.

Provider Name	Sport & Spine Therapy Of Marin Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1174578199 PECOS PAC ID: 4981617180 Enrollment ID: O20060710000148

Provider Name	Stac Physical Therapy Redding Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1871321307 PECOS PAC ID: 9739629676 Enrollment ID: O20240906001514

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 Matteo 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 Matteo, 6825 Burden Blvd Ste D, Pasco, WA 99301-5633 Ph: (509) 416-0444	Mallory Matteo, 1908 George Washington Way Ste B, Richland, WA 99354-2386 Ph: (509) 375-1015

Reviews and Comments

Physical Therapist in Richland, WA

Dr. Kyle Thomas Perry, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1020 Queensgate Dr, Richland, WA 99352 Phone: 509-578-5100
Andrew Neumann, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1020 Queensgate Dr, Richland, WA 99352 Phone: 509-578-5100 Fax: 545-491-3318
Katherine Gilreath, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1020 Queensgate Dr, Richland, WA 99352 Phone: 509-578-5100
Jordan T Bowers, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 343 Wellsian Way, Richland, WA 99352 Phone: 509-946-9191
Shona Sutherland Craig, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1455 Columbia Park Trail, Richland, WA 99352 Phone: 509-396-3707 Fax: 509-396-3710
Lauren Halterman, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 501 Jordan Ln, Richland, WA 99352 Phone: 509-205-9566
Anderson Mcgilliard, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 875 Gage Blvd, Richland, WA 99352 Phone: 509-946-1654 Fax: 509-943-5652

Mallory Matteo, - Medicare Physical Therapist in Richland, WA