Faryal J Mallick, MD in Gainesville, FL - Medicare Psychiatry & Neurology

Faryal J Mallick, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Gainesville, Florida. Her current practice location is 4197 Nw 86th Ter, Gainesville, Florida. You can reach out to her office (for appointments etc.) via phone at (352) 265-8886.

Faryal J Mallick is licensed to practice in Kentucky (license number 51944) 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 1962865097.

Contact Information

	Faryal J Mallick, MD
	4197 Nw 86th Ter, Gainesville, FL 32606-9278
	(352) 265-8886
	Not Available

Map and Direction

Physician's Profile

Full Name	Faryal J Mallick
Gender	Female
Speciality	Psychiatry & Neurology - Psychiatry
Location	4197 Nw 86th Ter, Gainesville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962865097
Provider Enumeration Date: 04/05/2016
Last Update Date: 07/06/2020

Medicare PECOS Information:

PECOS PAC ID: 4587916408
Enrollment ID: I20220606001299

Medical Identifiers

Medical identifiers for Faryal J Mallick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962865097	NPI	-	NPPES
7100572460	Medicaid	KY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	TP944 (Kentucky)	Secondary
2084P0804X	Psychiatry & Neurology - Child & Adolescent Psychiatry	ME140149 (Florida)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	51944 (Kentucky)	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. Faryal J Mallick allows following entities to bill medicare on her behalf.

Entity Name	Hni Medical Services Of Florida, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679048284 PECOS PAC ID: 7517202112 Enrollment ID: O20190102000426

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. Faryal J Mallick 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
Faryal J Mallick, MD Po Box 23229, Owensboro, KY 42304-3229 Ph: (270) 688-1330	Faryal J Mallick, MD 4197 Nw 86th Ter, Gainesville, FL 32606-9278 Ph: (352) 265-8886

Reviews and Comments

Psychiatry & Neurology Doctors in Gainesville, FL

Richa Vijayvargiya, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-4357 Fax: 352-627-4150
Dr. Gerald Richardson Iii, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 7360 Nw 47th Way, Gainesville, FL 32653 Phone: 407-821-5979
Dr. Edgard Olbany Andrade, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-392-6442
Dr. Thiago Santos Carneiro, MD, MPH Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-5550 Fax: 352-273-5575
Dr. Leston B Nay, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 5318 Sw 91st Ter, Suite B, Gainesville, FL 32608 Phone: 352-375-5553 Fax: 352-672-6201
Leonardo Rodriguez, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-376-1611 Fax: 352-271-4574
Dr. Newton Agrawal, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 4300 Sw 13th St, Gainesville, FL 32608 Phone: 352-374-5600

Faryal J Mallick, MD - Medicare Psychiatry & Neurology in Gainesville, FL