Weldon John Mallgren, DO is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Claremore, Oklahoma. He went to Michigan College Of Medicine And Surgery and graduated in 1993 and has 31 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Grand Lake Mental Health Center, Inc. and his current practice location is
17599 S Highway 88, Claremore, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(918) 342-9530.
Weldon John Mallgren is licensed to practice in Oklahoma (license number 2466) 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 1841384021.
Physician's Profile
Full Name | Weldon John Mallgren |
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Gender | Male |
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Speciality | Psychiatry |
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Experience | 31 Years |
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Location | 17599 S Highway 88, Claremore, Oklahoma |
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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:
- Weldon John Mallgren attended and graduated from Michigan College Of Medicine And Surgery in 1993
NPI Data:
- NPI Number: 1841384021
- Provider Enumeration Date: 10/03/2006
- Last Update Date: 03/01/2011
Medicare PECOS Information:
- PECOS PAC ID: 6002983343
- Enrollment ID: I20080929000159
Medical Identifiers
Medical identifiers for Weldon John Mallgren such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1841384021 | NPI | - | NPPES |
100227390C | Medicaid | OK | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | 2466 (Oklahoma) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Grand Lake Mental Health Center, Inc. | 4688711534 | 72 |
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. Weldon John Mallgren allows following entities to bill medicare on his behalf.
Entity Name | Grand Lake Mental Health Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1497762520 PECOS PAC ID: 4688711534 Enrollment ID: O20091026000174 |
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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. Weldon John Mallgren 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 |
Weldon John Mallgren, DO 114 W Delaware Ave, Nowata, OK 74048-2601 Ph: (918) 342-9530 | Weldon John Mallgren, DO 17599 S Highway 88, Claremore, OK 74017-0801 Ph: (918) 342-9530 |
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