Alexis Malcolm, NP in Hiram, GA - Medicare Nurse Practitioner

Alexis Malcolm, NP is a medicare enrolled "Nurse Practitioner" in Hiram, Georgia. Her current practice location is 2518 Jimmy Lee Smith Pkwy, Hiram, Georgia. You can reach out to her office (for appointments etc.) via phone at (470) 644-7000.

Alexis Malcolm is licensed to practice in Georgia (license number RN234397) 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 1235500273.

Contact Information

	Alexis Malcolm, NP
	2518 Jimmy Lee Smith Pkwy, Hiram, GA 30141-2068
	(470) 644-7000
	Not Available

Map and Direction

Provider's Profile

Full Name	Alexis Malcolm
Gender	Female
Speciality	Nurse Practitioner
Location	2518 Jimmy Lee Smith Pkwy, Hiram, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235500273
Provider Enumeration Date: 10/16/2015
Last Update Date: 10/16/2015

Medicare PECOS Information:

PECOS PAC ID: 8123329232
Enrollment ID: I20151215000880

Medical Identifiers

Medical identifiers for Alexis Malcolm such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235500273	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	RN234397 (Georgia)	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. Alexis Malcolm allows following entities to bill medicare on her behalf.

Entity Name	The Bortolazzo Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801965082 PECOS PAC ID: 3476554320 Enrollment ID: O20070122000015

Entity Name	Kleiman Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417627712 PECOS PAC ID: 8527466093 Enrollment ID: O20211013003394

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. Alexis Malcolm 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
Alexis Malcolm, NP 5665 New Northside Dr, Atlanta, GA 30328-5831 Ph: (770) 874-6907	Alexis Malcolm, NP 2518 Jimmy Lee Smith Pkwy, Hiram, GA 30141-2068 Ph: (470) 644-7000

Reviews and Comments

Nurse Practitioner Nurses in Hiram, GA

Mrs. Sara Hunlock Temple, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 51 Hiram Dr, Hiram, GA 30141 Phone: 678-945-8300 Fax: 770-445-2060
Aubree Lauren Tant, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 176 Charles Hardy Pkwy Unit C, Hiram, GA 30141 Phone: 678-945-8200 Fax: 678-945-8209
Mrs. Lucille Travis, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 4095 Atlanta Hwy, Hiram, GA 30141 Phone: 404-488-9521 Fax: 404-836-8030
Matthew Lee Estes, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 148 Bill Carruth Pkwy Ste 220, Hiram, GA 30141 Phone: 770-505-0023 Fax: 770-505-9003
Kelsey Sheffer, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2518 Jimmy Lee Smith Pkwy, Hiram, GA 30141 Phone: 770-938-9772
Joy Horton, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 136 Prince Ct, Hiram, GA 30141 Phone: 770-815-7357
Mrs. Donna Van Bladel Wall, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 144 Bill Carruth Pkwy Ste 3100, Hiram, GA 30141 Phone: 678-363-1940 Fax: 678-581-7110

Alexis Malcolm, NP - Medicare Nurse Practitioner in Hiram, GA