Mallorie M Haba, FNP is a medicare enrolled "Nurse Practitioner - Family" physician in Charlottesville, Virginia. She went to Medical University Of South Carolina College Of Medicine and graduated in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mcv Associated Physicians, University Of Virginia Physicians Group and her current practice location is
1240 Lee St, Charlottesville, Virginia. You can reach out to her office (for appointments etc.) via phone at
(434) 924-9333.
Mallorie M Haba is licensed to practice in Virginia (license number 0024181481) 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 1992378095.
Physician's Profile
| Full Name | Mallorie M Haba |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 3 Years |
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| Location | 1240 Lee St, Charlottesville, Virginia |
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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. |
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Medical Education and Training:
- Mallorie M Haba attended and graduated from Medical University Of South Carolina College Of Medicine in 2021
NPI Data:
- NPI Number: 1992378095
- Provider Enumeration Date: 07/19/2021
- Last Update Date: 05/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 8426440934
- Enrollment ID: I20220113000336
Medical Identifiers
Medical identifiers for Mallorie M Haba such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1992378095 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207VX0201X | Obstetrics & Gynecology - Gynecologic Oncology | 0024181481 (Virginia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 0024181481 (Virginia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Mcv Associated Physicians | 4385542117 | 1333 |
| University Of Virginia Physicians Group | 4880590728 | 1415 |
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. Mallorie M Haba allows following entities to bill medicare on her behalf.
| Entity Name | Mcv Associated Physicians |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710959457
PECOS PAC ID: 4385542117
Enrollment ID: O20031230000559 |
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| Entity Name | University Of Virginia Physicians Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033138250
PECOS PAC ID: 4880590728
Enrollment ID: O20040102000780 |
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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. Mallorie M Haba 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 |
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Mallorie M Haba, FNP
Po Box 9007,
Charlottesville, VA 22906-9007
Ph: () - | Mallorie M Haba, FNP
1240 Lee St,
Charlottesville, VA 22908-3765
Ph: (434) 924-9333 |
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