Jennifer Malloy, CRNP is a medicare enrolled "Nurse Practitioner - Primary Care" provider in Philadelphia, Pennsylvania. She graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Temple Faculty Practice Plan Inc and her current practice location is
3322 N Broad St, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(215) 707-1800.
Jennifer Malloy is licensed to practice in Pennsylvania (license number SP017051) 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 1972620227.
Healthcare Provider's Profile
| Full Name | Jennifer Malloy |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner |
|---|
| Experience | 8 Years |
|---|
| Location | 3322 N Broad St, Philadelphia, Pennsylvania |
|---|
| 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:
- Jennifer Malloy graduated from medical school in 2016
NPI Data:
- NPI Number: 1972620227
- Provider Enumeration Date: 03/23/2007
- Last Update Date: 03/28/2018
Medicare PECOS Information:
- PECOS PAC ID: 7416231410
- Enrollment ID: I20170310000127
Medical Identifiers
Medical identifiers for Jennifer Malloy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972620227 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | CW015068 (Pennsylvania) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | SP017051 (Pennsylvania) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Temple Faculty Practice Plan Inc | 0345588711 | 1060 |
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. Jennifer Malloy allows following entities to bill medicare on her behalf.
| Entity Name | Temple Faculty Practice Plan Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1881176949
PECOS PAC ID: 0345588711
Enrollment ID: O20190208002623 |
|---|
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. Jennifer Malloy 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 |
|---|
Jennifer Malloy, CRNP
2450 W Hunting Park Ave,
Philadelphia, PA 19129-1302
Ph: (215) 707-1800 | Jennifer Malloy, CRNP
3322 N Broad St,
Philadelphia, PA 19140-5185
Ph: (215) 707-1800 |
Reviews and Comments