Lucy B Malkasian, MD is a
Pediatrics physician based in Wahpeton, North Dakota. Lucy B Malkasian is licensed to practice in North Dakota (license number 4761) and her current practice location is 275 11th St S, Wahpeton, North Dakota. She can be reached at her office (for appointments etc.) via phone at
(701) 642-2000.
NPI number for Lucy B Malkasian is 1215972773 and her current mailing address is 275 11th St S, Wahpeton, North Dakota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215972773.
Physician's Profile
| Full Name | Lucy B Malkasian |
|---|
| Gender | Female |
|---|
| Speciality | Pediatrics |
|---|
| Location | 275 11th St S, Wahpeton, North Dakota |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1215972773
- Provider Enumeration Date: 06/18/2006
- Last Update Date: 09/20/2011
Medical Identifiers
Medical identifiers for Lucy B Malkasian such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215972773 | NPI | - | NPPES |
| 142036 | Other | ND | UCARE # |
| 7775590 | Medicaid | ND | |
| DA9051015636 | Other | ND | PREFERRED ONE # |
| HP19525 | Other | ND | HEALTHPARTNERS # |
| 30657 | Other | ND | SIOUX VALLEY # |
| 103062100 | Medicaid | ND | |
| 2495 | Other | ND | NDBS # |
| 2724 | Other | ND | NDBS # |
| ND100017 | Other | ND | LHS # |
| 1201182 | Other | ND | MEDICA # |
| 14103 | Medicaid | ND | |
| 676668 | Other | ND | AMERICA'S PPO/ARAZ # |
| 93114MA | Other | ND | MNBS # |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 4761 (North Dakota) | Primary |
| 208000000X | Pediatrics | 27260 (Minnesota) | Secondary |
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. Lucy B Malkasian is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Lucy B Malkasian, MD
275 11th St S,
Wahpeton, ND 58075-4655
Ph: (701) 642-2000 | Lucy B Malkasian, MD
275 11th St S,
Wahpeton, ND 58075-4655
Ph: (701) 642-2000 |
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