Mr Bruce Douglas Mallatt, MD is a medicare enrolled "Dermatology" physician in Vincennes, Indiana. His current practice location is
700 Willow St, Suite 203, Vincennes, Indiana. You can reach out to his office (for appointments etc.) via phone at
(812) 886-4572.
Mr Bruce Douglas Mallatt is licensed to practice in Indiana (license number 01027539) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1831173921.
Physician's Profile
| Full Name | Mr Bruce Douglas Mallatt |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 700 Willow St, Vincennes, Indiana |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Bruce Douglas Mallatt attended and graduated from in
NPI Data:
- NPI Number: 1831173921
- Provider Enumeration Date: 12/01/2005
- Last Update Date: 01/06/2010
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mr Bruce Douglas Mallatt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831173921 | NPI | - | NPPES |
| 100154760A | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | 01027539 (Indiana) | Primary |
| 207NS0135X | Dermatology - Procedural Dermatology | 01027539 (Indiana) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 01027539 (Indiana) | Secondary |
| 207ND0900X | Dermatology - Dermatopathology | 01027539 (Indiana) | Secondary |
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. Mr Bruce Douglas Mallatt 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 |
|---|
Mr Bruce Douglas Mallatt, MD
700 Willow St, Suite 203,
Vincennes, IN 47591-1028
Ph: (812) 886-4572 | Mr Bruce Douglas Mallatt, MD
700 Willow St, Suite 203,
Vincennes, IN 47591-1028
Ph: (812) 886-4572 |
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