Mohanned Mallah, MD in Charleston, SC

Mohanned Mallah, MD is a medicare enrolled "Surgery - Surgical Critical Care" physician in Charleston, South Carolina. His current practice location is 171 Ashley Ave, Charleston, South Carolina. You can reach out to his office (for appointments etc.) via phone at (843) 792-1414.

Mohanned Mallah is licensed to practice in South Carolina (license number 88198) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1891158457.

Contact Information

	Mohanned Mallah, MD
	171 Ashley Ave, Charleston, SC 29425-5812
	(843) 792-1414
	Not Available

Map and Direction

Physician's Profile

Full Name	Mohanned Mallah
Gender	Male
Speciality	Surgery - Surgical Critical Care
Location	171 Ashley Ave, Charleston, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891158457
Provider Enumeration Date: 03/31/2016
Last Update Date: 09/15/2023

Medicare PECOS Information:

PECOS PAC ID: 9436427291
Enrollment ID: I20221013003243

Medical Identifiers

Medical identifiers for Mohanned Mallah such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891158457	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0102X	Surgery - Surgical Critical Care	88198 (South Carolina)	Primary
208600000X	Surgery	218355 (North Carolina)	Secondary

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. Mohanned Mallah allows following entities to bill medicare on his behalf.

Entity Name	University Medical Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043241110 PECOS PAC ID: 6305758574 Enrollment ID: O20031105000291

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. Mohanned Mallah 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
Mohanned Mallah, MD Po Box 751461, Charlotte, NC 28275-1461 Ph: (843) 792-6200	Mohanned Mallah, MD 171 Ashley Ave, Charleston, SC 29425-5812 Ph: (843) 792-1414

Reviews and Comments

Surgery Doctors in Charleston, SC

Kyler Perry, DO Surgery Medicare: Medicare Enrolled Practice Location: 169 Ashley Ave Rm 202, Charleston, SC 29425 Phone: 843-792-2300
Dr. Swathi Venattu, MD Surgery Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414
Erika Andrade, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 169 Ashley Ave Rm 202, Charleston, SC 29425 Phone: 843-513-9773
Dr. Antwana Sharee Wright, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414
Jacob Arthur Klapper, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414
Norman Robert Harvey, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-2123
Hyejin Kwon, MD Surgery Medicare: Medicare Enrolled Practice Location: 169 Ashley Ave, Charleston, SC 29425 Phone: 843-792-3072

Mohanned Mallah, MD - Medicare Surgery in Charleston, SC