Dr Mala K Tandon, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Springfield, Virginia. She graduated from healthcare school in 2008 and has 16 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is
5921 Hall St, Springfield, Virginia. You can reach out to her office (for appointments etc.) via phone at
(571) 332-9095.
Dr Mala K Tandon is licensed to practice in Virginia (license number 0810004632) 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 1609105188.
Healthcare Provider's Profile
| Full Name | Dr Mala K Tandon |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 16 Years |
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| Location | 5921 Hall St, Springfield, Virginia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Mala K Tandon graduated from medical school in 2008
NPI Data:
- NPI Number: 1609105188
- Provider Enumeration Date: 12/14/2009
- Last Update Date: 07/03/2020
Medicare PECOS Information:
- PECOS PAC ID: 9335562164
- Enrollment ID: I20200722000062
Medical Identifiers
Medical identifiers for Dr Mala K Tandon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609105188 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 0810004632 (Virginia) | Secondary |
| 103TF0000X | Psychologist - Family | 0810004632 (Virginia) | Secondary |
| 103TP2701X | Psychologist - Group Psychotherapy | 0810004632 (Virginia) | Secondary |
| 103TC0700X | Psychologist - Clinical | 0810004632 (Virginia) | 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 Mala K Tandon allows following entities to bill medicare on her behalf.
| Entity Name | Mindful One Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1902423114
PECOS PAC ID: 8426471251
Enrollment ID: O20200722000056 |
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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 Mala K Tandon 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 |
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Dr Mala K Tandon, PSYD
5921 Hall St,
Springfield, VA 22152-1402
Ph: (571) 332-9095 | Dr Mala K Tandon, PSYD
5921 Hall St,
Springfield, VA 22152-1402
Ph: (571) 332-9095 |
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