Mallory Lostumbo, - Medicare Pediatrics in Rockville, MD

Mallory Lostumbo, is a medicare enrolled "Pediatrics" physician in Rockville, Maryland. Her current practice location is 1201 Seven Locks Rd Ste 201, Rockville, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 881-7995.

Mallory Lostumbo is licensed to practice in Maryland (license number D83313) 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 1073923132.

Contact Information

Mallory Lostumbo,
1201 Seven Locks Rd Ste 201,
Rockville, MD 20854-2963
(301) 881-7995
Not Available



Physician's Profile

Full NameMallory Lostumbo
GenderFemale
SpecialityPediatrics
Location1201 Seven Locks Rd Ste 201, Rockville, Maryland
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1073923132
  • Provider Enumeration Date: 04/29/2014
  • Last Update Date: 05/17/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 5294015517
  • Enrollment ID: I20210930000956

Medical Identifiers

Medical identifiers for Mallory Lostumbo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073923132NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics D83313 (Maryland)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 Lostumbo allows following entities to bill medicare on her behalf.
Entity NameJohns Hopkins Community Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578598868
PECOS PAC ID: 8325943707
Enrollment ID: O20031220000065

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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. Mallory Lostumbo 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 AddressPractice Location Address
Mallory Lostumbo,
1 Medical Center Dr, Department Of Pediatrics,
Lebanon, NH 03756-1000

Ph: () -
Mallory Lostumbo,
1201 Seven Locks Rd Ste 201,
Rockville, MD 20854-2963

Ph: (301) 881-7995

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Pediatrics Doctors in Rockville, MD

Stacy B Stryer, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 2401 Research Blvd, Suite 370, Rockville, MD 20850
Phone: 301-990-1664    Fax: 301-990-0471
Dr. Faith E. Frankel, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 1684 E Gude Dr, Rockville, MD 20850
Phone: 301-217-9222    
Avril M Houston, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 5600 Fishers Lane, Rockville, MD 20857
Phone: 301-443-0842    
Mesfin Woldesenbet, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 9901 Medical Center Dr, Rockville, MD 20850
Phone: 240-826-7392    Fax: 240-826-5388
Dr. Aglae Economides, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 6000 Executive Blvd, Suite 625, Rockville, MD 20852
Phone: 240-314-7080    
Dr. Stanley J Kramer, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 2101 East Jefferson Street, Rockville, MD 20852
Phone: 301-816-6425    Fax: 301-816-7115
Paul Sergio Porras, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 2301 Research Blvd, Suite 115, Rockville, MD 20850
Phone: 301-990-1664    Fax: 301-990-0471

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