Dr Jose Domingo Malave, PHD is a medicare enrolled "Psychologist - Clinical" provider in Ponce, Puerto Rico. His current practice location is
# 471 Ferrocarril Street , Sta. Maria Shopping Center, 234, Ponce, Puerto Rico. You can reach out to his office (for appointments etc.) via phone at
(787) 651-0030.
Dr Jose Domingo Malave is licensed to practice in Puerto Rico (license number 3583) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1336353960.
Healthcare Provider's Profile
| Full Name | Dr Jose Domingo Malave |
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| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | # 471 Ferrocarril Street , Sta. Maria Shopping Center, Ponce, Puerto Rico |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1336353960
- Provider Enumeration Date: 05/10/2007
- Last Update Date: 03/18/2010
Medicare PECOS Information:
- PECOS PAC ID: 1355564865
- Enrollment ID: I20140529002333
Medical Identifiers
Medical identifiers for Dr Jose Domingo Malave such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336353960 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 204859 (Puerto Rico) | Secondary |
| 103TC0700X | Psychologist - Clinical | 3583 (Puerto Rico) | 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. Dr Jose Domingo Malave allows following entities to bill medicare on his behalf.
| Entity Name | Clinica Del Dr Malave |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184990251
PECOS PAC ID: 5991928509
Enrollment ID: O20140529002282 |
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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. Dr Jose Domingo Malave 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 |
|---|
Dr Jose Domingo Malave, PHD
Valle Alto Calle Llanuras, 1792,
Ponce, PR 00731
Ph: (787) 385-2162 | Dr Jose Domingo Malave, PHD
# 471 Ferrocarril Street , Sta. Maria Shopping Center, 234,
Ponce, PR 00731
Ph: (787) 651-0030 |
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