Mary E Malcom, DO is a medicare enrolled "Emergency Medicine" physician in Carlisle, Iowa. Her current practice location is
45 Columbia St, Carlisle, Iowa. You can reach out to her office (for appointments etc.) via phone at
(515) 989-4143.
Mary E Malcom is licensed to practice in Iowa (license number 3459) 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 1417937699.
Physician's Profile
Full Name | Mary E Malcom |
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Gender | Female |
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Speciality | Emergency Medicine |
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Location | 45 Columbia St, Carlisle, Iowa |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1417937699
- Provider Enumeration Date: 01/22/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 9032013248
- Enrollment ID: I20031120000402
Medical Identifiers
Medical identifiers for Mary E Malcom such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417937699 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 3459 (Iowa) | 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. Mary E Malcom allows following entities to bill medicare on her behalf.
Entity Name | Pocahontas Community Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1609989581 PECOS PAC ID: 7012820012 Enrollment ID: O20031106000417 |
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Entity Name | St Lukes Jones Regional Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1942397328 PECOS PAC ID: 4688572811 Enrollment ID: O20031226000198 |
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Entity Name | Pocahontas Community Hospital |
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Entity Type | Part A Provider - Critical Access Hospital |
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Entity Identifiers | NPI Number: 1346241213 PECOS PAC ID: 7012820012 Enrollment ID: O20061104000292 |
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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. Mary E Malcom 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 |
Mary E Malcom, DO 45 Columbia St, Carlisle, IA 50047-7715 Ph: (515) 989-4143 | Mary E Malcom, DO 45 Columbia St, Carlisle, IA 50047-7715 Ph: (515) 989-4143 |
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