Sidney Mallenbaum, MD | |
3 Riverside Cir, Roanoke, VA 24016-4955 | |
(540) 224-5170 | |
Not Available |
Full Name | Sidney Mallenbaum |
---|---|
Gender | Male |
Speciality | Neurology |
Experience | 38 Years |
Location | 3 Riverside Cir, Roanoke, Virginia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588734172 | NPI | - | NPPES |
1011645-00 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | ME137451 (Florida) | Secondary |
2084N0400X | Psychiatry & Neurology - Neurology | 0101045430 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sacred Heart Hospital | Pensacola, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sacred Heart Health System Inc | 3779491386 | 365 |
Entity Name | Sacred Heart Health System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962453308 PECOS PAC ID: 3779491386 Enrollment ID: O20051015000049 |
Mailing Address | Practice Location Address |
---|---|
Sidney Mallenbaum, MD 3 Riverside Cir, Roanoke, VA 24016-4955 Ph: (540) 224-5170 | Sidney Mallenbaum, MD 3 Riverside Cir, Roanoke, VA 24016-4955 Ph: (540) 224-5170 |
Dr. Badr Ratnakaran, MBBS Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2017 Jefferson St Sw, Roanoke, VA 24014 Phone: 540-981-8025 Fax: 540-853-0511 | |
Carlos Mora, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3 Riverside Cir, Roanoke, VA 24016 Phone: 540-224-5170 Fax: 540-985-9427 | |
John H Draeger, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2017 Jefferson St Sw, Roanoke, VA 24014 Phone: 540-853-0900 Fax: 540-853-0518 | |
Fahim Fahim, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3517 Brandon Ave Sw, Roanoke, VA 24018 Phone: 540-981-1102 Fax: 540-344-4169 | |
Dr. John Eric Vance, M.D Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2017 Jefferson St Sw, Roanoke, VA 24014 Phone: 540-853-0900 Fax: 540-853-0518 | |
Dr. John Gordon Burch, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 4431 Starkey Rd, Roanoke, VA 24018 Phone: 540-342-0211 Fax: 540-344-5543 | |
Sooraj John, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2017 Jefferson St Sw, Roanoke, VA 24014 Phone: 540-981-8025 Fax: 540-853-0511 |