Sharon Malotte, M D is a medicare enrolled "Family Medicine" physician in Portola, California. Her current practice location is
480 1st Ave, Portola, California. You can reach out to her office (for appointments etc.) via phone at
(530) 832-6600.
Sharon Malotte is licensed to practice in California (license number G75087) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1912072562.
Physician's Profile
| Full Name | Sharon Malotte |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 480 1st Ave, Portola, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1912072562
- Provider Enumeration Date: 11/21/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 4183724446
- Enrollment ID: I20070716000451
Medical Identifiers
Medical identifiers for Sharon Malotte such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912072562 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | G75087 (California) | 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. Sharon Malotte allows following entities to bill medicare on her behalf.
| Entity Name | South Lyon Health Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932160363
PECOS PAC ID: 0648178533
Enrollment ID: O20031230000357 |
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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. Sharon Malotte 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 |
|---|
Sharon Malotte, M D
480 1st Ave,
Portola, CA 96122-9405
Ph: (530) 832-6600 | Sharon Malotte, M D
480 1st Ave,
Portola, CA 96122-9405
Ph: (530) 832-6600 |
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