Maram Mallisho, MD in Burbank, IL - Medicare Hospitalist

Maram Mallisho, MD is a medicare enrolled "Internal Medicine" physician in Burbank, Illinois. She graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Hospitalist. She is a member of the group practice Galen Inpatient Physicians Pc and her current practice location is 6345 W 79th St, Burbank, Illinois. You can reach out to her office (for appointments etc.) via phone at (312) 609-0300.

Maram Mallisho is licensed to practice in Tennessee (license number 52977) 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 1295093128.

Contact Information

	Maram Mallisho, MD
	6345 W 79th St, Burbank, IL 60459-1133
	(312) 609-0300
	(708) 684-3070

Map and Direction

Physician's Profile

Full Name	Maram Mallisho
Gender	Female
Speciality	Hospitalist
Experience	22 Years
Location	6345 W 79th St, Burbank, Illinois
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:

Maram Mallisho graduated from medical school in 2002

NPI Data:

NPI Number: 1295093128
Provider Enumeration Date: 04/28/2012
Last Update Date: 07/17/2023

Medicare PECOS Information:

PECOS PAC ID: 7416193040
Enrollment ID: I20230711002337

Medical Identifiers

Medical identifiers for Maram Mallisho such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295093128	NPI	-	NPPES
Q021679	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	01075712A (Indiana)	Secondary
207R00000X	Internal Medicine	52977 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Community Hospital	Munster, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Galen Inpatient Physicians Pc	3678464633	442

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. Maram Mallisho allows following entities to bill medicare on her behalf.

Entity Name	Galen Inpatient Physicians Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871178368 PECOS PAC ID: 3678464633 Enrollment ID: O20210709002087

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. Maram Mallisho 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
Maram Mallisho, MD 29373 Network Pl, Chicago, IL 60673-1293 Ph: (847) 390-5900	Maram Mallisho, MD 6345 W 79th St, Burbank, IL 60459-1133 Ph: (312) 609-0300

Reviews and Comments

Internal Medicine Doctors in Burbank, IL

Dr. Ana M Nowell, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6345 W 79th St, Burbank, IL 60459 Phone: 312-609-0300 Fax: 708-684-3070
Humberto Deleon, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6345 W 79th St, Burbank, IL 60459 Phone: 312-609-0300 Fax: 708-684-3070
Dr. Di Ma, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6345 W 79th St, Burbank, IL 60459 Phone: 312-609-0300 Fax: 708-684-3070
Dr. Sandeep Chandra, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7903 Lockwood Ave, Burbank, IL 60459 Phone: 708-422-9577 Fax: 708-422-8101
Waqar Mian, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6345 W 79th St, Burbank, IL 60459 Phone: 844-725-5238 Fax: 708-346-8285
Khursheed Gir, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6345 W 79th St, Burbank, IL 60459 Phone: 312-609-0300 Fax: 708-684-3070
Charmi Vijay Desai, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 6345 W 79th St, Burbank, IL 60459 Phone: 312-609-0300

Maram Mallisho, MD - Medicare Hospitalist in Burbank, IL