Yasmin Malik, DNP, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Portland, Oregon. Her current practice location is
3455 Sw Us Veterans Hospital Rd, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at
(503) 494-7725.
Yasmin Malik is licensed to practice in Oregon (license number 10015443) 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 1194036814.
Healthcare Provider's Profile
| Full Name | Yasmin Malik |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 3455 Sw Us Veterans Hospital Rd, Portland, Oregon |
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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: 1194036814
- Provider Enumeration Date: 06/28/2010
- Last Update Date: 09/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 4284070962
- Enrollment ID: I20240316000378
Medical Identifiers
Medical identifiers for Yasmin Malik such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194036814 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 202009577RN (Oregon) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 10015443 (Oregon) | 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. Yasmin Malik allows following entities to bill medicare on her behalf.
| Entity Name | Cascade Aids Project Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275076168
PECOS PAC ID: 8729363502
Enrollment ID: O20170316002402 |
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| Entity Name | Active Recovery Tms Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1881287787
PECOS PAC ID: 9032528047
Enrollment ID: O20210504001021 |
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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. Yasmin Malik 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 |
|---|
Yasmin Malik, DNP, PMHNP
3455 Sw Us Veterans Hospital Rd,
Portland, OR 97239-3076
Ph: (503) 494-7725 | Yasmin Malik, DNP, PMHNP
3455 Sw Us Veterans Hospital Rd,
Portland, OR 97239-3076
Ph: (503) 494-7725 |
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