Shahram Malik, MD is a medicare enrolled "Hospitalist" physician in Pennington Gap, Virginia. He graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Holston Medical Group Pc and his current practice location is
127 Health Care Dr, Pennington Gap, Virginia. You can reach out to his office (for appointments etc.) via phone at
(276) 546-1440.
Shahram Malik is licensed to practice in Virginia (license number 0101245409) 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 1285827923.
Physician's Profile
Full Name | Shahram Malik |
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Gender | Male |
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Speciality | Family Practice |
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Experience | 22 Years |
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Location | 127 Health Care Dr, Pennington Gap, Virginia |
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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. |
Medical Education and Training:
- Shahram Malik graduated from medical school in 2002
NPI Data:
- NPI Number: 1285827923
- Provider Enumeration Date: 08/27/2007
- Last Update Date: 03/20/2014
Medicare PECOS Information:
- PECOS PAC ID: 5991855793
- Enrollment ID: I20121127000320
Medical Identifiers
Medical identifiers for Shahram Malik such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1285827923 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 0101245409 (Virginia) | Secondary |
208M00000X | Hospitalist | 0101245409 (Virginia) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Holston Medical Group Pc | 8224935754 | 227 |
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. Shahram Malik allows following entities to bill medicare on his behalf.
Entity Name | Holston Medical Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1831110667 PECOS PAC ID: 8224935754 Enrollment ID: O20031216000416 |
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Entity Name | Wellmont Medical Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1780986257 PECOS PAC ID: 8123291739 Enrollment ID: O20111026000909 |
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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. Shahram Malik 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 |
Shahram Malik, MD 999 Executive Park Blvd, Suite 201, Kingsport, TN 37660-4632 Ph: (423) 224-3250 | Shahram Malik, MD 127 Health Care Dr, Pennington Gap, VA 24277-2853 Ph: (276) 546-1440 |
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