Dr John Monroe Mallow Jr, DDS is a medicare enrolled "Dentist" provider in Marlinton, West Virginia. His current practice location is
818 13th Ave, Marlinton, West Virginia. You can reach out to his office (for appointments etc.) via phone at
(304) 799-4783.
Dr John Monroe Mallow Jr is licensed to practice in West Virginia (license number WV 2663) 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 1174658314.
Healthcare Provider's Profile
Full Name | Dr John Monroe Mallow Jr |
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Gender | Male |
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Speciality | Dentist |
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Location | 818 13th Ave, Marlinton, West Virginia |
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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: 1174658314
- Provider Enumeration Date: 02/21/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 3072908607
- Enrollment ID: I20220318000171
Medical Identifiers
Medical identifiers for Dr John Monroe Mallow Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174658314 | NPI | - | NPPES |
0136840000 | Medicaid | WV | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | WV 2663 (West Virginia) | Primary |
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 John Monroe Mallow Jr 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 |
Dr John Monroe Mallow Jr, DDS 818-13th Ave., Marlinton, WV 24954 Ph: (304) 799-4783 | Dr John Monroe Mallow Jr, DDS 818 13th Ave, Marlinton, WV 24954-1442 Ph: (304) 799-4783 |
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