Dr Malkah Doba Tiefenbrun, DNP is a medicare enrolled "Emergency Medicine" in Elizabeth, New Jersey. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Middlesex Emergency Physicians, P.a. and her current practice location is
530 Riverside Dr, Elizabeth, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(718) 839-5592.
Dr Malkah Doba Tiefenbrun is licensed to practice in New Jersey (license number 26NR19215300) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1275293268.
Provider's Profile
| Full Name | Dr Malkah Doba Tiefenbrun |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 3 Years |
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| Location | 530 Riverside Dr, Elizabeth, New Jersey |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Malkah Doba Tiefenbrun graduated from nursing school in 2021
NPI Data:
- NPI Number: 1275293268
- Provider Enumeration Date: 12/18/2021
- Last Update Date: 06/09/2023
Medicare PECOS Information:
- PECOS PAC ID: 5597158022
- Enrollment ID: I20220207000026
Medical Identifiers
Medical identifiers for Dr Malkah Doba Tiefenbrun such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275293268 | NPI | - | NPPES |
| 0827924 | Medicaid | NJ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363L00000X | Nurse Practitioner | 26NJ01239100 (New Jersey) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | F348843-01 (New York) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 26NJ01239100 (New Jersey) | Secondary |
| 207P00000X | Emergency Medicine | 26NR19215300 (New Jersey) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Middlesex Emergency Physicians, P.a. | 9931002854 | 24 |
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. Dr Malkah Doba Tiefenbrun allows following entities to bill medicare on her behalf.
| Entity Name | Middlesex Emergency Physicians, P.a. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1811921760
PECOS PAC ID: 9931002854
Enrollment ID: O20040129000034 |
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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. Dr Malkah Doba Tiefenbrun 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 |
|---|
Dr Malkah Doba Tiefenbrun, DNP
530 Riverside Dr,
Elizabeth, NJ 07208-2117
Ph: (718) 839-5592 | Dr Malkah Doba Tiefenbrun, DNP
530 Riverside Dr,
Elizabeth, NJ 07208-2117
Ph: (718) 839-5592 |
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