Dr Kozhaya Mallah, MD in Logan, WV - Medicare Internal Medicine

Dr Kozhaya Mallah, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Logan, West Virginia. He graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Logan General Hospital Llc and his current practice location is 20 Hospital Dr, Logan, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 831-1602.

Dr Kozhaya Mallah is licensed to practice in West Virginia (license number 24018) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1376717694.

Contact Information

	Dr Kozhaya Mallah, MD
	20 Hospital Dr, Logan, WV 25601-3452
	(304) 831-1602
	(304) 831-1605

Map and Direction

Physician's Profile

Full Name	Dr Kozhaya Mallah
Gender	Male
Speciality	Internal Medicine
Experience	21 Years
Location	20 Hospital Dr, Logan, West Virginia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Kozhaya Mallah graduated from medical school in 2003

NPI Data:

NPI Number: 1376717694
Provider Enumeration Date: 04/17/2008
Last Update Date: 10/31/2011

Medicare PECOS Information:

PECOS PAC ID: 0244361467
Enrollment ID: I20100701000225

Medical Identifiers

Medical identifiers for Dr Kozhaya Mallah such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376717694	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	25MA08297600 (New Jersey)	Secondary
207RC0000X	Internal Medicine - Cardiovascular Disease	24018 (West Virginia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Logan Regional Medical Center	Logan, WV	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Logan General Hospital Llc	9537078977	23

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 Kozhaya Mallah allows following entities to bill medicare on his behalf.

Entity Name	Logan General Hospital Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720032105 PECOS PAC ID: 9537078977 Enrollment ID: O20031217001124

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 Kozhaya Mallah 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 Kozhaya Mallah, MD 20 Hospital Dr, Logan, WV 25601-3452 Ph: (304) 831-1602	Dr Kozhaya Mallah, MD 20 Hospital Dr, Logan, WV 25601-3452 Ph: (304) 831-1602

Reviews and Comments

Internal Medicine Doctors in Logan, WV

Sathishchandra N Rao, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 38 Hospital Dr, Logan, WV 25601 Phone: 304-792-6255 Fax: 304-792-6290
Fernando Luis Gonzalez-ramos, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 77 Hospital Drive, Suite 101, Logan, WV 25601 Phone: 304-831-0450 Fax: 304-831-0452
Robert Perez, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 20 Hospital Dr, Logan, WV 25601 Phone: 304-831-1630 Fax: 304-831-1634
Radhakrishna Kukkillaya, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 38 Hospital Dr, Logan, WV 25601 Phone: 304-792-6282 Fax: 304-792-6290
Dr. Chris Mccoy, D.O. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 557 Main St, Logan, WV 25601 Phone: 304-896-5001
Dr. Raymond Omar Rushden, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 140 Stollings Ave Ste 2, Logan, WV 25601 Phone: 304-752-8400 Fax: 304-752-8419
John T Tiano, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 20 Hospital Drive, Logan, WV 25601 Phone: 304-831-1602 Fax: 304-831-1605

Dr Kozhaya Mallah, MD - Medicare Internal Medicine in Logan, WV