Ellen Fallon Malone, CRNP in Philadelphia, PA

Ellen Fallon Malone, CRNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Philadelphia, Pennsylvania. Her current practice location is 51 N 39th St, 4 Phi, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 662-9189.

Ellen Fallon Malone is licensed to practice in Pennsylvania (license number SP003192U) 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 1124126875.

Contact Information

	Ellen Fallon Malone, CRNP
	51 N 39th St, 4 Phi, Philadelphia, PA 19104
	(215) 662-9189
	(215) 243-4612

Map and Direction

Provider's Profile

Full Name	Ellen Fallon Malone
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	51 N 39th St, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124126875
Provider Enumeration Date: 09/20/2006
Last Update Date: 07/30/2018

Medicare PECOS Information:

PECOS PAC ID: 0941559496
Enrollment ID: I20180816003113

Medical Identifiers

Medical identifiers for Ellen Fallon Malone such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124126875	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	SP003192U (Pennsylvania)	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. Ellen Fallon Malone allows following entities to bill medicare on her behalf.

Entity Name	Main Line Healthcare
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922077643 PECOS PAC ID: 1951215201 Enrollment ID: O20040308000373

Entity Name	Clinical Health Care Associates Of New Jersey Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538728357 PECOS PAC ID: 0749180198 Enrollment ID: O20040812000372

Entity Name	University Of Penn-medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235527342 PECOS PAC ID: 6204730955 Enrollment ID: O20141111000091

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. Ellen Fallon Malone 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
Ellen Fallon Malone, CRNP 51 N 39th St, 4 Phi, Philadelphia, PA 19104-2640 Ph: (215) 662-9189	Ellen Fallon Malone, CRNP 51 N 39th St, 4 Phi, Philadelphia, PA 19104 Ph: (215) 662-9189

Reviews and Comments

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Ellen Fallon Malone, CRNP - Medicare Nurse Practitioner in Philadelphia, PA