Brian Henry Malone, in Philadelphia, PA - Medicare Student in an Organized Health Care Education/Training Program

Brian Henry Malone, - Medicare Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Brian Henry Malone, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Philadelphia, Pennsylvania. His current practice location is 111 S 11th St Ste 8290, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 955-2370.

Brian Henry Malone is licensed to practice in Pennsylvania (license number OT019069) 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 1164089694.

Contact Information

	Brian Henry Malone,
	111 S 11th St Ste 8290, Philadelphia, PA 19107-4824
	(215) 955-2370
	(215) 955-0677

Map and Direction

Physician's Profile

Full Name	Brian Henry Malone
Gender	Male
Speciality	Student In An Organized Health Care Education/training Program
Location	111 S 11th St Ste 8290, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164089694
Provider Enumeration Date: 05/21/2019
Last Update Date: 07/09/2024

Medicare PECOS Information:

PECOS PAC ID: 1658604350
Enrollment ID: I20190612001735

Medical Identifiers

Medical identifiers for Brian Henry Malone such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164089694	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	OS023736 (Pennsylvania)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	OT019069 (Pennsylvania)	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. Brian Henry Malone 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
Brian Henry Malone, 111 S 11th St Ste 8290, Philadelphia, PA 19107-4824 Ph: (215) 955-2370	Brian Henry Malone, 111 S 11th St Ste 8290, Philadelphia, PA 19107-4824 Ph: (215) 955-2370