Amy Mallum, MSW, LICSW in Grand Rapids, MN - Medicare Clinical Social Worker Provider

Amy Mallum, MSW, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Grand Rapids, Minnesota. She graduated from medical school in 2012 and has 13 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice North Homes Inc. and her current practice location is 413 Se 13th St, Grand Rapids, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 999-9908.

Amy Mallum is licensed to practice in Minnesota (license number 21852) 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 1447631452.

Contact Information

	Amy Mallum, MSW, LICSW
	413 Se 13th St, Grand Rapids, MN 55744-0015
	(218) 999-9908
	(218) 999-9959

Map and Direction

Healthcare Provider's Profile

Full Name	Amy Mallum
Gender	Female
Speciality	Clinical Social Worker
Experience	13 Years
Location	413 Se 13th St, Grand Rapids, Minnesota
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:

Amy Mallum graduated from medical school in 2012

NPI Data:

NPI Number: 1447631452
Provider Enumeration Date: 06/16/2015
Last Update Date: 06/16/2015

Medicare PECOS Information:

PECOS PAC ID: 4385955707
Enrollment ID: I20150625001416

Medical Identifiers

Medical identifiers for Amy Mallum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447631452	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	21852 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
North Homes Inc.	0648279554	6

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. Amy Mallum allows following entities to bill medicare on her behalf.

Entity Name	North Homes Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790826550 PECOS PAC ID: 0648279554 Enrollment ID: O20061204000071

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. Amy Mallum 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
Amy Mallum, MSW, LICSW 413 Se 13th St, Grand Rapids, MN 55744-0015 Ph: (218) 999-9908	Amy Mallum, MSW, LICSW 413 Se 13th St, Grand Rapids, MN 55744-0015 Ph: (218) 999-9908

Reviews and Comments

Social Worker in Grand Rapids, MN

Mr. Michael Harbin, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 35382 Us Highway 2, Grand Rapids, MN 55744 Phone: 218-327-4886 Fax: 218-327-4848
Drusilea Donato, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 413 Se 13th St, Grand Rapids, MN 55744 Phone: 218-999-9908 Fax: 218-999-7068
Paige Kavanagh, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 413 Se 13th St, Grand Rapids, MN 55744 Phone: 218-327-3000
Ms. Lisa Marie Silvestri-adamich, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 35629 Hill Dr, Grand Rapids, MN 55744 Phone: 218-259-9417
Ms. Lisa Jo Corradi, MSW LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1880 River Rd, Grand Rapids, MN 55744 Phone: 218-327-3000 Fax: 218-327-1871
Lynette Schmidt, MSW LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 35382 Us Hwy 2, Grand Rapids, MN 55744 Phone: 218-327-4886 Fax: 218-327-4848
Megan Amanda Gerak, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 10 Nw 5th St, Ste 3, Grand Rapids, MN 55744 Phone: 218-250-8687 Fax: 218-203-4782

Amy Mallum, MSW, LICSW - Medicare Clinical Social Worker in Grand Rapids, MN