Dr Brenda Susan Mallory, MD in Bloomington, IN - Medicare

Dr Brenda Susan Mallory, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Bloomington, Indiana. Her current practice location is 601 W 2nd St, Bloomington, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 353-6821.

Dr Brenda Susan Mallory is licensed to practice in Indiana (license number 01084397A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1992707111.

Contact Information

	Dr Brenda Susan Mallory, MD
	601 W 2nd St, Bloomington, IN 47403-2317
	(812) 353-6821
	Not Available

Physician's Profile

Full Name	Dr Brenda Susan Mallory
Gender	Female
Speciality
Experience	Years
Location	601 W 2nd St, Bloomington, Indiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Brenda Susan Mallory attended and graduated from in

NPI Data:

NPI Number: 1992707111
Provider Enumeration Date: 06/01/2005
Last Update Date: 09/01/2020

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

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

Identifier	Type	State	Issuer
1992707111	NPI	-	NPPES
01417674	Medicaid	NY
1024982060001	Medicaid	PA
191473-1	Other	NY	NY STATE LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208100000X	Physical Medicine & Rehabilitation	MD440148 (Pennsylvania)	Secondary
208100000X	Physical Medicine & Rehabilitation	191473-1 (New York)	Secondary
208100000X	Physical Medicine & Rehabilitation	01084397A (Indiana)	Primary

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 Brenda Susan 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 Brenda Susan Mallory, MD Po Box 858, Mc A410, Hershey, PA 17033-0858 Ph: (800) 243-1455	Dr Brenda Susan Mallory, MD 601 W 2nd St, Bloomington, IN 47403-2317 Ph: (812) 353-6821

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Physical Medicine & Rehabilitation Doctors in Bloomington, IN

Taylor Luibrand, DPT Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 1312 W Arch Haven Ave Ste E, Bloomington, IN 47403 Phone: 812-336-8406 Fax: 812-336-8342
Dr. J. Paul Kern, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 717 S Rogers St, Bloomington, IN 47403 Phone: 812-337-0700 Fax: 812-337-0714
Dr. Jeff C.c. Thomas, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 2201 W Sudbury Dr, Suite C, Bloomington, IN 47403 Phone: 812-333-1933 Fax: 812-333-3991
Dr. Earl J Craig, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 717 S Rogers St, Bloomington, IN 47403 Phone: 812-337-0700 Fax: 812-337-0714

Dr Brenda Susan Mallory, MD - Medicare in Bloomington, IN