Fallan Nichole Mayabb, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Sikeston, Missouri. She went to University Of Missouri, Columbia School Of Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Missouri Delta Medical Center and her current practice location is
1013 N Main St, Sikeston, Missouri. You can reach out to her office (for appointments etc.) via phone at
(573) 472-7535.
Fallan Nichole Mayabb is licensed to practice in Missouri (license number 2015013287) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1437440245.
Physician's Profile
Full Name | Fallan Nichole Mayabb |
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Gender | Female |
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Speciality | Obstetrics/gynecology |
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Experience | 13 Years |
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Location | 1013 N Main St, Sikeston, Missouri |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Fallan Nichole Mayabb attended and graduated from University Of Missouri, Columbia School Of Medicine in 2011
NPI Data:
- NPI Number: 1437440245
- Provider Enumeration Date: 04/27/2011
- Last Update Date: 03/15/2021
Medicare PECOS Information:
- PECOS PAC ID: 0648581280
- Enrollment ID: I20150623001471
Medical Identifiers
Medical identifiers for Fallan Nichole Mayabb such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1437440245 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207V00000X | Obstetrics & Gynecology | BP10039962 (Texas) | Secondary |
207V00000X | Obstetrics & Gynecology | 2015013287 (Missouri) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Missouri Delta Medical Center | 1355252891 | 74 |
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. Fallan Nichole Mayabb allows following entities to bill medicare on her behalf.
Entity Name | Missouri Delta Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1508967860 PECOS PAC ID: 1355252891 Enrollment ID: O20040308001306 |
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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. Fallan Nichole Mayabb 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 |
Fallan Nichole Mayabb, MD 1013 N Main St, Sikeston, MO 63801-5043 Ph: (573) 472-7535 | Fallan Nichole Mayabb, MD 1013 N Main St, Sikeston, MO 63801-5043 Ph: (573) 472-7535 |
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