Mallory Sanders, MCD, CCC-SLP in North Charleston, SC - Medicare Speech-Language Pathologist Provider

Mallory Sanders, MCD, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in North Charleston, South Carolina. Her current practice location is 3096 Nantuckett Ave, North Charleston, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 455-6079.

Mallory Sanders is licensed to practice in South Carolina (license number 5419) 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 1629474895.

Contact Information

	Mallory Sanders, MCD, CCC-SLP
	3096 Nantuckett Ave, North Charleston, SC 29420-8973
	(843) 455-6079
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mallory Sanders
Gender	Female
Speciality	Speech-language Pathologist
Location	3096 Nantuckett Ave, North Charleston, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629474895
Provider Enumeration Date: 11/14/2014
Last Update Date: 05/01/2025

Medicare PECOS Information:

PECOS PAC ID: 1254852205
Enrollment ID: I20250306000177

Medical Identifiers

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

Identifier	Type	State	Issuer
1629474895	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	5419 (South 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 Sanders allows following entities to bill medicare on her behalf.

Provider Name	Fox Rehabilitation Services Of South Carolina, Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1902133689 PECOS PAC ID: 3971639998 Enrollment ID: O20100330000294

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 Sanders 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 Sanders, MCD, CCC-SLP 3096 Nantuckett Ave, North Charleston, SC 29420-8973 Ph: (843) 455-6079	Mallory Sanders, MCD, CCC-SLP 3096 Nantuckett Ave, North Charleston, SC 29420-8973 Ph: (843) 455-6079

Reviews and Comments

Speech-Language Pathologist in North Charleston, SC

Dana Gibson, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4401 Belle Oaks Dr, North Charleston, SC 29405 Phone: 866-571-2700
Mrs. Mary K Purhamus, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 9225 University Blvd, Ste E2c, North Charleston, SC 29406 Phone: 843-569-4546 Fax: 843-569-4535
Ashley Miller, MA SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 9225 University Blvd, Ste E2c, North Charleston, SC 29406 Phone: 843-569-4546 Fax: 843-569-4535
Cool Speech Therapy Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5098 Westview St, North Charleston, SC 29418 Phone: 843-598-5760
Abbey Fauerbach-deaton, MS CCCSLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 9225 University Blvd, Ste E2c, North Charleston, SC 29406 Phone: 843-569-4546 Fax: 843-569-4535
Kristen Ciocci, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 9225 University Blvd Ste E2c, North Charleston, SC 29406 Phone: 843-569-4546 Fax: 843-569-4535
Gale J Singletary Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2749 Star Dr, North Charleston, SC 29406 Phone: 843-509-2557

Mallory Sanders, MCD, CCC-SLP - Medicare Speech-Language Pathologist in North Charleston, SC