Dr John Christman Malmborg, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Waycross, Georgia. His current practice location is
1206 Alice Street, Waycross, Georgia. You can reach out to his office (for appointments etc.) via phone at
(912) 285-2620.
Dr John Christman Malmborg is licensed to practice in Georgia (license number 19074) 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 1992887350.
Physician's Profile
| Full Name | Dr John Christman Malmborg |
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| Gender | Male |
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| Speciality | Obstetrics & Gynecology |
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| Location | 1206 Alice Street, Waycross, Georgia |
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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: 1992887350
- Provider Enumeration Date: 10/19/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 0941271126
- Enrollment ID: I20040802001506
Medical Identifiers
Medical identifiers for Dr John Christman Malmborg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992887350 | NPI | - | NPPES |
| 064160 | Other | GA | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | 19074 (Georgia) | 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 John Christman Malmborg allows following entities to bill medicare on his behalf.
| Entity Name | Ankle & Foot Associates, Llc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356492599
PECOS PAC ID: 1355327107
Enrollment ID: O20040624000900 |
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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 John Christman Malmborg 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 Christman Malmborg, MD
1206 Alice Street,
Waycross, GA 31501
Ph: (912) 285-2620 | Dr John Christman Malmborg, MD
1206 Alice Street,
Waycross, GA 31501
Ph: (912) 285-2620 |
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