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MALLORY KAY RACOSKI PA-C
NPI 1780992230
Physician Assistant - Medical in Tunkhannock, PA

Active since September 17, 2010PECOS Enrolled
5950 SR 6 FL 4, TUNKHANNOCK, PA 18657(570) 836-6808(570) 836-5536 Get Directions Write a Review

NPPES record last updated: September 30, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 30, 2019, Mar 17, 2018 (2 updates tracked since 2018).

About Mallory Kay Racoski Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MALLORY KAY RACOSKI PA-C (NPI 1780992230) is an individual medical provider in Tunkhannock, Pennsylvania, licensed in Pennsylvania (MA054645) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1780992230
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMALLORY KAY RACOSKICredential: PA-C
Location Address5950 SR 6 FL 4Tunkhannock, PA 18657
Mailing Address5950 Sr 6 Fl 4Tunkhannock, PA 18657-7905 · (570) 836-6808 · Fax (570) 836-5536
Phone(570) 836-6808
Fax(570) 836-5536
Sole ProprietorNo
Enumeration DateSeptember 17, 2010
Last NPPES UpdateSeptember 30, 20192 updates tracked since enumeration
✔ NPI 1780992230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses✔ Licensed in PA · MA054645✔ Licensed in PA · OA004422
5950 SR 6 FL 4, Tunkhannock, PA 18657
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Other Names 1

Former Name (1)Mallory Kay Wintermute

Secondary Practice Locations 3

Location 1407 N State StClarks Summit, PA 18411-1097 · Phone (570) 586-1134 · Fax (570) 586-1136
Location 21400 Main StPeckville, PA 18452-2078 · Phone (570) 383-0236 · Fax (570) 383-3681
Location 3417 Main StLaceyville, PA 18623-6821 · Phone (570) 869-0120 · Fax (570) 869-0124

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mallory Kay Racoski Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mallory Racoski's NPI number?

The NPI number for Mallory Racoski is 1780992230. It was assigned to this individual provider in the NPPES registry on September 17, 2010. The provider is also known as Mallory Kay Wintermute.

Where is Mallory Racoski located?

Mallory Racoski practices at 5950 Sr 6 Fl 4, Tunkhannock, PA 18657. The listed phone number is (570) 836-6808.

What is Mallory Racoski's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Mallory Racoski enrolled in Medicare?

Yes. Mallory Racoski is registered in the Medicare PECOS enrollment system.

What insurance does Mallory Racoski accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Mallory Racoski as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mallory Racoski was last updated on September 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.