Joan Patricia Malcolm, FNP is a medicare enrolled "Nurse Practitioner - Family" in Mn 008-b213 Minnetonka, Minnesota. Her current practice location is
9900 Bren Road East, Mn 008-b213 Minnetonka, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(646) 247-6174.
Joan Patricia Malcolm is licensed to practice in New York (license number 339033) 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 1629389168.
Provider's Profile
Full Name | Joan Patricia Malcolm |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 9900 Bren Road East, Mn 008-b213 Minnetonka, Minnesota |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1629389168
- Provider Enumeration Date: 06/30/2010
- Last Update Date: 06/25/2020
Medicare PECOS Information:
- PECOS PAC ID: 2567774953
- Enrollment ID: I20150626000699
Medical Identifiers
Medical identifiers for Joan Patricia Malcolm such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629389168 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 339033 (New York) | Primary |
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. Joan Patricia 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 |
Joan Patricia Malcolm, FNP 9900 Bren Road East, Mn 008-b213 Minnetonka, MN 55343 Ph: (646) 247-6174 | Joan Patricia Malcolm, FNP 9900 Bren Road East, Mn 008-b213 Minnetonka, MN 55343 Ph: (646) 247-6174 |
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