Miss Elisabeth Vanessa Malin, MD in Fountain Valley, CA

Miss Elisabeth Vanessa Malin, MD is a medicare enrolled "Pediatrics" physician in Fountain Valley, California. Her current practice location is 18255 Brookhurst St, Suite 100, Fountain Valley, California. You can reach out to her office (for appointments etc.) via phone at (714) 378-5330.

Miss Elisabeth Vanessa Malin is licensed to practice in California (license number A 120781) 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 1134390495.

Contact Information

	Miss Elisabeth Vanessa Malin, MD
	18255 Brookhurst St, Suite 100, Fountain Valley, CA 92708-6771
	(714) 378-5330
	(714) 378-5320

Map and Direction

Physician's Profile

Full Name	Miss Elisabeth Vanessa Malin
Gender	Female
Speciality	Pediatrics
Location	18255 Brookhurst St, Fountain Valley, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134390495
Provider Enumeration Date: 03/14/2008
Last Update Date: 12/22/2021

Medicare PECOS Information:

PECOS PAC ID: 2668609330
Enrollment ID: I20131230001633

Medical Identifiers

Medical identifiers for Miss Elisabeth Vanessa Malin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134390495	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	A 120781 (California)	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. Miss Elisabeth Vanessa Malin allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

Entity Name	Community Memorial Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215903018 PECOS PAC ID: 9537155676 Enrollment ID: O20040422001668

Entity Name	Baychildrens Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922124866 PECOS PAC ID: 9436239878 Enrollment ID: O20080110000320

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. Miss Elisabeth Vanessa Malin 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
Miss Elisabeth Vanessa Malin, MD 18255 Brookhurst St, Suite 100, Fountain Valley, CA 92708-6771 Ph: (714) 378-5330	Miss Elisabeth Vanessa Malin, MD 18255 Brookhurst St, Suite 100, Fountain Valley, CA 92708-6771 Ph: (714) 378-5330

Reviews and Comments

Pediatrics Doctors in Fountain Valley, CA

Sheila Phuong Nguyen, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 17360 Brookhurst Street, Fountain Valley, CA 92708 Phone: 714-665-1797 Fax: 714-665-4680
Margaret Zimmerman, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 18035 Brookhurst St, Suite 2100, Fountain Valley, CA 92708 Phone: 657-241-9090
Graham C Tse, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 17100 Euclid St, Department Picu/peds, Fountain Valley, CA 92708 Phone: 714-966-7253 Fax: 714-966-3354
Mrs. Toquynh Dinh Kieu, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11100 Warner Ave, Suite # 116, Fountain Valley, CA 92708 Phone: 714-641-0850 Fax: 714-434-6158
Dr. Jyotsna Keni, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 11160 Warner Ave, Suite 117, Fountain Valley, CA 92708 Phone: 714-432-1950 Fax: 714-432-1953
Tanya Dansky, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 17360 Brookhurst St, Fountain Valley, CA 92708 Phone: 714-377-2900

Miss Elisabeth Vanessa Malin, MD - Medicare Pediatrics in Fountain Valley, CA