Malisa Komolthiti, is a medicare enrolled "Marriage & Family Therapist" provider in Amelia, Ohio. Her current practice location is
3865 Golden Meadow Ct, Amelia, Ohio. You can reach out to her office (for appointments etc.) via phone at
(562) 265-8222.
Malisa Komolthiti is licensed to practice in Indiana (license number 35002343A) 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 1598394009.
Healthcare Provider's Profile
Full Name | Malisa Komolthiti |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 3865 Golden Meadow Ct, Amelia, Ohio |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1598394009
- Provider Enumeration Date: 04/06/2020
- Last Update Date: 10/12/2023
Medicare PECOS Information:
- PECOS PAC ID: 4587000328
- Enrollment ID: I20241113004567
Medical Identifiers
Medical identifiers for Malisa Komolthiti such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1598394009 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | 35002343A (Indiana) | 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. Malisa Komolthiti allows following entities to bill medicare on her behalf.
Entity Name | Mk Consulting And Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1023760691 PECOS PAC ID: 7315471331 Enrollment ID: O20241113004557 |
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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. Malisa Komolthiti 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 |
Malisa Komolthiti, 3865 Golden Meadow Ct, Amelia, OH 45102-2635 Ph: (562) 265-8222 | Malisa Komolthiti, 3865 Golden Meadow Ct, Amelia, OH 45102-2635 Ph: (562) 265-8222 |
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