Yvette Mallory, PSYD is a medicare enrolled "Psychologist - Counseling" provider in Mt. Juliet, Tennessee. She graduated from medical school in 2014 and has 11 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is
11205 Lebanon Rd Pmb 1008, Mt. Juliet, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(615) 412-8909.
Yvette Mallory is licensed to practice in Tennessee (license number 3980) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1659824308.
Healthcare Provider's Profile
| Full Name | Yvette Mallory |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 11 Years |
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| Location | 11205 Lebanon Rd Pmb 1008, Mt. Juliet, Tennessee |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Yvette Mallory graduated from medical school in 2014
NPI Data:
- NPI Number: 1659824308
- Provider Enumeration Date: 07/29/2016
- Last Update Date: 12/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 3375830391
- Enrollment ID: I20250128001464
Medical Identifiers
Medical identifiers for Yvette Mallory such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1659824308 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103T00000X | Psychologist | PY 9599 (Florida) | Secondary |
| 103TC1900X | Psychologist - Counseling | 3980 (Tennessee) | 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. Yvette Mallory allows following entities to bill medicare on her behalf.
| Entity Name | Mallory Psychological And Consulting Services, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1265240543
PECOS PAC ID: 3779012463
Enrollment ID: O20250124002226 |
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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. Yvette 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 |
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Yvette Mallory, PSYD
11205 Lebanon Rd Pmb 1008,
Mt Juliet, TN 37122
Ph: () - | Yvette Mallory, PSYD
11205 Lebanon Rd Pmb 1008,
Mt. Juliet, TN 37122
Ph: (615) 412-8909 |
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