Mrs Jan Marie Malmberg, LPC in Salt Lake City, UT

Mrs Jan Marie Malmberg, LPC is a medicare enrolled "Counselor - Professional" provider in Salt Lake City, Utah. Her current practice location is 4214 S 500 W, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 859-3523.

Mrs Jan Marie Malmberg is licensed to practice in Utah (license number 4905206-6004) 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 1225193998.

Contact Information

	Mrs Jan Marie Malmberg, LPC
	4214 S 500 W, Salt Lake City, UT 84123-1336
	(801) 859-3523
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Jan Marie Malmberg
Gender	Female
Speciality	Counselor - Professional
Location	4214 S 500 W, Salt Lake City, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225193998
Provider Enumeration Date: 12/23/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 9739565904
Enrollment ID: I20240222002589

Medical Identifiers

Medical identifiers for Mrs Jan Marie Malmberg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225193998	NPI	-	NPPES
11627987	Other	UT	CAQH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	4905206-6004 (Utah)	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 Jan Marie Malmberg allows following entities to bill medicare on her behalf.

Entity Name	Jennifer Fairbourn Lmft Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356826036 PECOS PAC ID: 5294116455 Enrollment ID: O20220719002188

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 Jan Marie Malmberg 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 Jan Marie Malmberg, LPC 2223 Arosa Cir, Sandy, UT 84093-1039 Ph: (801) 943-5061	Mrs Jan Marie Malmberg, LPC 4214 S 500 W, Salt Lake City, UT 84123-1336 Ph: (801) 859-3523

Reviews and Comments

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Mrs Jan Marie Malmberg, LPC - Medicare Counselor in Salt Lake City, UT