Heather Mallon, FNP-BC in Ramona, CA - Medicare Nurse Practitioner

Heather Mallon, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Ramona, California. Her current practice location is 2940 Duck Pond Ln, Ramona, California. You can reach out to her office (for appointments etc.) via phone at (858) 945-8578.

Heather Mallon is licensed to practice in California (license number 95000257) 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 1043615206.

Contact Information

	Heather Mallon, FNP-BC
	2940 Duck Pond Ln, Ramona, CA 92065-3665
	(858) 945-8578
	Not Available

Map and Direction

Provider's Profile

Full Name	Heather Mallon
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2940 Duck Pond Ln, Ramona, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043615206
Provider Enumeration Date: 10/30/2014
Last Update Date: 12/01/2021

Medicare PECOS Information:

PECOS PAC ID: 9638493174
Enrollment ID: I20150112000110

Medical Identifiers

Medical identifiers for Heather Mallon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043615206	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95000257 (California)	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. Heather Mallon allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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. Heather Mallon 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
Heather Mallon, FNP-BC 2940 Duck Pond Ln, Ramona, CA 92065-3665 Ph: (858) 945-8578	Heather Mallon, FNP-BC 2940 Duck Pond Ln, Ramona, CA 92065-3665 Ph: (858) 945-8578

Reviews and Comments

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Heather Mallon, FNP-BC - Medicare Nurse Practitioner in Ramona, CA