Mrs Jennifer Shackelford Malkovich, AUD in Oakland, CA

Mrs Jennifer Shackelford Malkovich, AUD is a medicare enrolled "Audiologist" provider in Oakland, California. Her current practice location is 400 30th St, Suite 101, Oakland, California. You can reach out to her office (for appointments etc.) via phone at (510) 832-4056.

Mrs Jennifer Shackelford Malkovich is licensed to practice in California (license number AU2449) 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 1801018130.

Contact Information

	Mrs Jennifer Shackelford Malkovich, AUD
	400 30th St, Suite 101, Oakland, CA 94609-3306
	(510) 832-4056
	(510) 832-8507

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Jennifer Shackelford Malkovich
Gender	Female
Speciality	Audiologist
Location	400 30th St, Oakland, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801018130
Provider Enumeration Date: 05/03/2007
Last Update Date: 01/11/2022

Medicare PECOS Information:

PECOS PAC ID: 3476835240
Enrollment ID: I20170131002530

Medical Identifiers

Medical identifiers for Mrs Jennifer Shackelford Malkovich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801018130	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
231H00000X	Audiologist	AU2449 (California)	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. Mrs Jennifer Shackelford Malkovich allows following entities to bill medicare on her behalf.

Provider Name	Permanente Medical Group Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Mrs Jennifer Shackelford Malkovich 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
Mrs Jennifer Shackelford Malkovich, AUD 400 30th St, Suite 101, Oakland, CA 94609-3306 Ph: (510) 832-4056	Mrs Jennifer Shackelford Malkovich, AUD 400 30th St, Suite 101, Oakland, CA 94609-3306 Ph: (510) 832-4056

Reviews and Comments

Audiologist in Oakland, CA

Courtney Cook, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 3346 Lakeshore Ave, Oakland, CA 94610 Phone: 510-444-9771
Connect Hearing, Inc. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 2201 Broadway Ste 812, Oakland, CA 94612 Phone: 510-625-8039 Fax: 510-625-8067
Dr. Michelle Louie, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 747 52nd St, Oakland, CA 94609 Phone: 510-428-3344
Brenda E Cole, AU.D. CCC-A Audiologist Medicare: Medicare Enrolled Practice Location: 2923 Webster St Ste 201, Oakland, CA 94609 Phone: 510-752-8330
Jamie Williams, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 747 52nd St, Oakland, CA 94609 Phone: 510-428-4344
Elaina Keth, Audiologist Medicare: Not Enrolled in Medicare Practice Location: 3751 Broadway Ste B, Oakland, CA 94611 Phone: 510-752-8330
Dr. Larrain A Hedlund Bratt, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 280 W Macarthur Blvd, Head And Neck Surgery Department, Oakland, CA 94611 Phone: 510-752-6421 Fax: 510-752-7032

Mrs Jennifer Shackelford Malkovich, AUD - Medicare Audiologist in Oakland, CA