Jacqueline A Malloy, ARNP in Blue Ridge, GA - Medicare Nurse Practitioner

Jacqueline A Malloy, ARNP is a medicare enrolled "Nurse Practitioner - Family" in Blue Ridge, Georgia. Her current practice location is 101 Riverstone Vis, Blue Ridge, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 258-4400.

Jacqueline A Malloy is licensed to practice in Georgia (license number ARNP 103102) 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 1861445447.

Contact Information

	Jacqueline A Malloy, ARNP
	101 Riverstone Vis, Blue Ridge, GA 30513-6648
	(706) 258-4400
	(706) 632-3585

Map and Direction

Provider's Profile

Full Name	Jacqueline A Malloy
Gender	Female
Speciality	Nurse Practitioner - Family
Location	101 Riverstone Vis, Blue Ridge, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861445447
Provider Enumeration Date: 05/18/2006
Last Update Date: 10/04/2024

Medicare PECOS Information:

PECOS PAC ID: 7911925185
Enrollment ID: I20061206000160

Medical Identifiers

Medical identifiers for Jacqueline A Malloy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861445447	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	ARNP 9164727 (Florida)	Secondary
363L00000X	Nurse Practitioner	80435 (New Mexico)	Secondary
363L00000X	Nurse Practitioner	1159783 (Texas)	Secondary
363LF0000X	Nurse Practitioner - Family	ARNP 103102 (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. Jacqueline A Malloy allows following entities to bill medicare on her behalf.

Entity Name	Northside Emergency Associates, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285686303 PECOS PAC ID: 9335135144 Enrollment ID: O20040426000165

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. Jacqueline A Malloy 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
Jacqueline A Malloy, ARNP 804 Waterford Estates Mnr, Canton, GA 30114-9422 Ph: (770) 704-1995	Jacqueline A Malloy, ARNP 101 Riverstone Vis, Blue Ridge, GA 30513-6648 Ph: (706) 258-4400

Reviews and Comments

Nurse Practitioner Nurses in Blue Ridge, GA

Ms. Rachel Lauren Van Horn, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Riverstone Vis Ste 102, Blue Ridge, GA 30513 Phone: 706-258-4140 Fax: 706-258-4141
Deborah Collins Pietrangelo, FNPC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Riverstone Vis Ste 215, Blue Ridge, GA 30513 Phone: 706-946-4227 Fax: 706-258-4715
Patricia Murray, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 787 E Main St, Blue Ridge, GA 30513 Phone: 706-632-4411 Fax: 706-632-4644
Mrs. Jessica Elizabeth Hill, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Riverstone Vis Ste 102, Blue Ridge, GA 30513 Phone: 706-258-4140 Fax: 706-258-4141
Mrs. Camille York Ledford, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Riverstone Vis Ste 111, Blue Ridge, GA 30513 Phone: 706-946-4200 Fax: 706-492-3206
Ms. Megan Cole Roper, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Riverstone Vis Ste 206, Blue Ridge, GA 30513 Phone: 706-632-4400 Fax: 706-632-4404
Megan Cheatham, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2855 Old Highway 5, Blue Ridge, GA 30513 Phone: 706-258-4640 Fax: 706-258-7216

Jacqueline A Malloy, ARNP - Medicare Nurse Practitioner in Blue Ridge, GA