Pavel Malm, LCMHC in Newport, VT - Medicare Counselor Provider

Pavel Malm, LCMHC is a medicare enrolled "Counselor - Mental Health" provider in Newport, Vermont. His current practice location is 124 E Main St Ste 2, Newport, Vermont. You can reach out to his office (for appointments etc.) via phone at (802) 327-0077.

Pavel Malm is licensed to practice in Vermont (license number 0680000594) 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 1154425296.

Contact Information

	Pavel Malm, LCMHC
	124 E Main St Ste 2, Newport, VT 05855-5561
	(802) 327-0077
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Pavel Malm
Gender	Male
Speciality	Counselor - Mental Health
Location	124 E Main St Ste 2, Newport, Vermont
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154425296
Provider Enumeration Date: 09/11/2006
Last Update Date: 05/18/2021

Medicare PECOS Information:

PECOS PAC ID: 1850733270
Enrollment ID: I20240530001365

Medical Identifiers

Medical identifiers for Pavel Malm such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154425296	NPI	-	NPPES
59161	Other	VT	BCBS
1009126	Medicaid	VT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	0680000594 (Vermont)	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. Pavel Malm allows following entities to bill medicare on his behalf.

Entity Name	Growing Minds Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942738695 PECOS PAC ID: 9032551452 Enrollment ID: O20240530000976

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. Pavel Malm 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
Pavel Malm, LCMHC Po Box 622, Newport, VT 05855-0622 Ph: (802) 673-6998	Pavel Malm, LCMHC 124 E Main St Ste 2, Newport, VT 05855-5561 Ph: (802) 327-0077

Reviews and Comments

Counselor in Newport, VT

Mrs. Laura Leigh Lawson, M.S., LCMHC, NCC Counselor Medicare: Medicare Enrolled Practice Location: 15 Taylor St Ste 1, Newport, VT 05855 Phone: 802-673-9600
Kassidee Tabor Keefe, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 181 Crawford Rd, Newport, VT 05855 Phone: 802-334-6744
Sandra K Bedell, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 154 Duchess Street, Newport, VT 05855 Phone: 802-334-6744 Fax: 802-334-7340
Linda Cope, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 154 Duchess Ave, Newport, VT 05855 Phone: 802-334-6744 Fax: 802-334-7455
Judith Springer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 155 Duchess Ave, Newport, VT 05855 Phone: 802-323-7361
Catherine Rossi, LICSW LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2858 Pine Hill Rd, Newport, VT 05855 Phone: 802-624-0896

Pavel Malm, LCMHC - Medicare Counselor in Newport, VT