Tariq K Malik, MD is a medicare enrolled "Internal Medicine - Addiction Medicine" physician in Beaver Dam, Kentucky. His current practice location is
1219 N Main St, Beaver Dam, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(270) 274-1800.
Tariq K Malik is licensed to practice in Kentucky (license number 32045) 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 1659434728.
Physician's Profile
| Full Name | Tariq K Malik |
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| Gender | Male |
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| Speciality | Internal Medicine - Addiction Medicine |
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| Location | 1219 N Main St, Beaver Dam, Kentucky |
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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: 1659434728
- Provider Enumeration Date: 12/19/2006
- Last Update Date: 07/15/2021
Medicare PECOS Information:
- PECOS PAC ID: 8022915651
- Enrollment ID: I20031212000710
Medical Identifiers
Medical identifiers for Tariq K Malik such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1659434728 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | 32045 (Kentucky) | Secondary |
| 207RA0401X | Internal Medicine - Addiction Medicine | 32045 (Kentucky) | 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. Tariq K Malik allows following entities to bill medicare on his behalf.
| Entity Name | Owensboro Health Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235518242
PECOS PAC ID: 0648255034
Enrollment ID: O20040621000818 |
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| Entity Name | Concord Medical Group of Kentucky PLLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346746385
PECOS PAC ID: 9133483894
Enrollment ID: O20180503002233 |
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| Entity Name | South Central Physicians PLLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427611854
PECOS PAC ID: 6507195492
Enrollment ID: O20210126001625 |
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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. Tariq K 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 |
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Tariq K Malik, MD
1219 N Main St,
Beaver Dam, KY 42320-8955
Ph: (270) 274-1800 | Tariq K Malik, MD
1219 N Main St,
Beaver Dam, KY 42320-8955
Ph: (270) 274-1800 |
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