Dr Jennie O'lera Malone, DO is a medicare enrolled "Family Medicine" physician in Joint Base Mdl, New Jersey. Her current practice location is
3458 Neely Rd, Joint Base Mdl, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(888) 363-2273.
Dr Jennie O'lera Malone is licensed to practice in New Jersey (license number 25MB08670200) 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 1558569814.
Physician's Profile
| Full Name | Dr Jennie O'lera Malone |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 3458 Neely Rd, Joint Base Mdl, New Jersey |
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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: 1558569814
- Provider Enumeration Date: 07/10/2007
- Last Update Date: 03/14/2018
Medicare PECOS Information:
- PECOS PAC ID: 6103011101
- Enrollment ID: I20121114000239
Medical Identifiers
Medical identifiers for Dr Jennie O'lera Malone such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558569814 | NPI | - | NPPES |
| 03269858 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 258781 (New York) | Secondary |
| 207Q00000X | Family Medicine | 25MB08670200 (New Jersey) | 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. Dr Jennie O'lera Malone allows following entities to bill medicare on her behalf.
| Entity Name | Medexpress Urgent Care - New Jersey Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205183894
PECOS PAC ID: 6103076526
Enrollment ID: O20121022000045 |
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| Entity Name | Jersey Irish Medical |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1144575739
PECOS PAC ID: 0941451215
Enrollment ID: O20121114000210 |
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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. Dr Jennie O'lera 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 |
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Dr Jennie O'lera Malone, DO
3458 Neely Rd,
Joint Base Mdl, NJ 08641-5312
Ph: () - | Dr Jennie O'lera Malone, DO
3458 Neely Rd,
Joint Base Mdl, NJ 08641-5312
Ph: (888) 363-2273 |
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