Dr Bethany Mallory, in Kettering, OH - Medicare Psychologist Provider

Dr Bethany Mallory, is a medicare enrolled "Psychologist" provider in Kettering, Ohio. Her current practice location is 3085 Woodman Dr Ste 240, Kettering, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 951-3077.

Dr Bethany Mallory is licensed to practice in Ohio (license number P.08190) 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 1043986540.

Contact Information

	Dr Bethany Mallory,
	3085 Woodman Dr Ste 240, Kettering, OH 45420-1159
	(937) 951-3077
	(937) 951-3109

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Bethany Mallory
Gender	Female
Speciality	Psychologist
Location	3085 Woodman Dr Ste 240, Kettering, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043986540
Provider Enumeration Date: 08/17/2021
Last Update Date: 08/17/2021

Medicare PECOS Information:

PECOS PAC ID: 0941693113
Enrollment ID: I20220210002246

Medical Identifiers

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

Identifier	Type	State	Issuer
1043986540	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	P.08190 (Ohio)	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. Dr Bethany Mallory allows following entities to bill medicare on her behalf.

Entity Name	Children's Hospital Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609915784 PECOS PAC ID: 8426955733 Enrollment ID: O20031216000035

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. Dr Bethany Mallory 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
Dr Bethany Mallory, 3085 Woodman Dr Ste 240, Kettering, OH 45420-1159 Ph: (937) 951-3077	Dr Bethany Mallory, 3085 Woodman Dr Ste 240, Kettering, OH 45420-1159 Ph: (937) 951-3077

Reviews and Comments

Psychologist in Kettering, OH

Nancy R. Milam, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1250 W Dorothy Ln Ste 208, Kettering, OH 45409 Phone: 937-298-9241
Madeline Ann Gronotte, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 580 Lincoln Park Blvd Ste 105, Kettering, OH 45429 Phone: 937-499-1435
Nicholas A Doninger, PH.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3533 Southern Blvd, Suite 5200, Kettering, OH 45429 Phone: 937-395-8043 Fax: 937-395-8139
Carly Hube, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3000 Glengarry Dr, Kettering, OH 45420 Phone: 937-499-1550 Fax: 937-499-1508
Dr. Aubrey Dawn Morrison-gill, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3085 Woodman Dr Ste 240, Kettering, OH 45420 Phone: 937-951-3077
Thomas Packard, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5450 Far Hills Ave, Suite 110, Kettering, OH 45429 Phone: 937-436-5361 Fax: 937-436-1468

Dr Bethany Mallory, - Medicare Psychologist in Kettering, OH