Samir Mallat, in Johnstown, PA - Medicare Internal Medicine

Samir Mallat, is a medicare enrolled "Internal Medicine - Nephrology" physician in Johnstown, Pennsylvania. His current practice location is 88 Osborne St, Johnstown, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (814) 619-3373.

Samir Mallat is licensed to practice in Pennsylvania (license number MD456497) 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 1487113627.

Contact Information

	Samir Mallat,
	88 Osborne St, Johnstown, PA 15905-4146
	(814) 619-3373
	Not Available

Map and Direction

Physician's Profile

Full Name	Samir Mallat
Gender	Male
Speciality	Internal Medicine - Nephrology
Location	88 Osborne St, Johnstown, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487113627
Provider Enumeration Date: 03/18/2019
Last Update Date: 03/18/2019

Medicare PECOS Information:

PECOS PAC ID: 6103151162
Enrollment ID: I20190712001174

Medical Identifiers

Medical identifiers for Samir Mallat such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487113627	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RH0005X	Internal Medicine - Hypertension Specialist	MD456497 (Pennsylvania)	Secondary
207RN0300X	Internal Medicine - Nephrology	MD456497 (Pennsylvania)	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. Samir Mallat allows following entities to bill medicare on his behalf.

Entity Name	Renal Care Consultants, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740433648 PECOS PAC ID: 7012072218 Enrollment ID: O20090316000587

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. Samir Mallat 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
Samir Mallat, 88 Osborne St, Johnstown, PA 15905-4146 Ph: () -	Samir Mallat, 88 Osborne St, Johnstown, PA 15905-4146 Ph: (814) 619-3373

Reviews and Comments

Internal Medicine Doctors in Johnstown, PA

Ashish Jain, MD Nephrology Medicare: Medicare Enrolled Practice Location: 1086 Franklin St Dept Of, Johnstown, PA 15905 Phone: 814-534-9104 Fax: 814-534-3559
Ayesha Haq, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 1086 Franklin St, Johnstown, PA 15905 Phone: 814-534-9408 Fax: 814-534-3290
Michael Voloshin, Nephrology Medicare: Accepting Medicare Assignments Practice Location: 337 Somerset St, John P Murtha Pavillion, Johnstown, PA 15901 Phone: 814-534-4724
Samir A Hadeed, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 374 Theatre Dr, Johnstown, PA 15904 Phone: 814-619-4587 Fax: 814-254-4154
Talha Mehmood, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1086 Franklin St, Johnstown, PA 15905 Phone: 814-534-9803
Naila Hussain, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 1086 Franklin St, Johnstown, PA 15905 Phone: 814-534-9408 Fax: 814-534-3290
George J Frem, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 88 Osborne St, Johnstown, PA 15905 Phone: 814-539-0798 Fax: 814-536-4751

Samir Mallat, - Medicare Internal Medicine in Johnstown, PA