Dr Mallory Garza, PHD in Ruston, LA - Medicare Psychologist Provider

Dr Mallory Garza, PHD is a medicare enrolled "Psychologist - Counseling" provider in Ruston, Louisiana. Her current practice location is 302 Wynnwood Ave, Ruston, Louisiana. You can reach out to her office (for appointments etc.) via phone at (620) 231-9873.

Dr Mallory Garza is licensed to practice in Louisiana (license number 1763) 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 1285270926.

Contact Information

	Dr Mallory Garza, PHD
	302 Wynnwood Ave, Ruston, LA 71270-2653
	(620) 231-9873
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Mallory Garza
Gender	Female
Speciality	Psychologist - Counseling
Location	302 Wynnwood Ave, Ruston, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285270926
Provider Enumeration Date: 11/18/2019
Last Update Date: 03/06/2026

Medicare PECOS Information:

PECOS PAC ID: 5890115844
Enrollment ID: I20201014000400

Medical Identifiers

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

Identifier	Type	State	Issuer
1285270926	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC1900X	Psychologist - Counseling	1763 (Louisiana)	Primary
103TC1900X	Psychologist - Counseling	03223 (Kansas)	Secondary
103TC1900X	Psychologist - Counseling	PSB94025204 (California)	Secondary

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 Mallory Garza allows following entities to bill medicare on her behalf.

Entity Name	Manhattan Mental Health Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043645781 PECOS PAC ID: 4880951664 Enrollment ID: O20171204001008

Entity Name	Katies Way Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881096428 PECOS PAC ID: 1254664279 Enrollment ID: O20190606001608

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 Mallory Garza 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 Mallory Garza, PHD 302 Wynnwood Ave, Ruston, LA 71270-2653 Ph: (318) 729-8090	Dr Mallory Garza, PHD 302 Wynnwood Ave, Ruston, LA 71270-2653 Ph: (620) 231-9873

Reviews and Comments

Psychologist in Ruston, LA

Dr. Aimee Blackham, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 622 Burgessville Rd, Ruston, LA 71270 Phone: 318-224-7223 Fax: 318-414-1004
Dr. Walter C Buboltz Jr., PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 622 Burgessville Rd, Ruston, LA 71270 Phone: 318-224-7223 Fax: 318-415-1004
Mrs. Antoinette Kelly-clark, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 171 Water Tank Rd, Ruston, LA 71270 Phone: 318-548-7242
Dr. David Lanson Wheeler, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1401 Ezell Street, Ruston, LA 71270 Phone: 318-251-3126
Eric Deemer, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2419 Redwood St, Ruston, LA 71270 Phone: 318-257-3659

Dr Mallory Garza, PHD - Medicare Psychologist in Ruston, LA