Mohammad S Mallick, MD | |
1525 Liberty Ct, Brookfield, WI 53045-5327 | |
(262) 646-6280 | |
Not Available |
Full Name | Mohammad S Mallick |
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Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1525 Liberty Ct, Brookfield, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689607798 | NPI | - | NPPES |
31466300 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 27719 (Wisconsin) | Primary |
Entity Name | County Of Waukesha Department Of Finance |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740403146 PECOS PAC ID: 3971405481 Enrollment ID: O20040124000130 |
Mailing Address | Practice Location Address |
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Mohammad S Mallick, MD 1525 Liberty Ct, Brookfield, WI 53045-5327 Ph: (262) 646-6280 | Mohammad S Mallick, MD 1525 Liberty Ct, Brookfield, WI 53045-5327 Ph: (262) 646-6280 |
Mr. Chirag G. Shah, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 675 N Brookfield Rd Ste 205, Brookfield, WI 53045 Phone: 262-235-3311 | |
Makenzie Elizabeth Hatfield Kresch, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 12760 W North Ave, Brookfield, WI 53005 Phone: 262-439-5500 | |
Mr. Gary K Schnell, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 12760 W North Ave, Building A, Brookfield, WI 53005 Phone: 262-439-5500 Fax: 866-439-5221 | |
Dr. Randall Joseph Zblewski, MD Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 12760 W North Ave, Building A, Brookfield, WI 53005 Phone: 262-439-5500 Fax: 866-439-5221 | |
Dr. Marie Grace Ferber, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 12760 W North Ave, Building A, Brookfield, WI 53005 Phone: 262-439-5500 Fax: 866-439-5221 | |
Darren Zwolinski Almagro, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 16535 W Bluemound Rd Ste 200, Brookfield, WI 53005 Phone: 262-999-3495 Fax: 262-821-6180 | |
Corey Carr, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 13950 W Capitol Dr, 2nd Fl, Brookfield, WI 53005 Phone: 414-874-6288 |