Kavithamani Mallan, FNP - Medicare Nurse Practitioner in Durham, NC

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Kavithamani Mallan, FNP is a medicare enrolled "Nurse Practitioner - Family" in Durham, North Carolina. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Centerwell Senior Primary Care Nc Jv Pc, Centerwell Senior Primary Care Nc Pc and her current practice location is 249 E Hwy 54, Durham, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 907-3334.

Kavithamani Mallan is licensed to practice in North Carolina (license number F01191504) 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 1891257903.

Contact Information

Kavithamani Mallan, FNP
249 E Hwy 54,
Durham, NC 27113
(919) 907-3334
Not Available

Map and Direction




Provider's Profile

Full NameKavithamani Mallan
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location249 E Hwy 54, Durham, North Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kavithamani Mallan graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1891257903
  • Provider Enumeration Date: 04/05/2019
  • Last Update Date: 05/11/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1658602404
  • Enrollment ID: I20191009003209

Medical Identifiers

Medical identifiers for Kavithamani Mallan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891257903NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family F01191504 (North Carolina)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Centerwell Senior Primary Care Nc Jv Pc034561438415
Centerwell Senior Primary Care Nc Pc22647084868

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. Kavithamani Mallan allows following entities to bill medicare on her behalf.
Entity NameB & D Integrated Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215022926
PECOS PAC ID: 9931253275
Enrollment ID: O20090820000437
Entity NameLld Laboratories Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295196780
PECOS PAC ID: 4981992468
Enrollment ID: O20161017001302
Entity NameCenterwell Senior Primary Care Nc Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073034625
PECOS PAC ID: 2264708486
Enrollment ID: O20171016002152
Entity NameCenterwell Senior Primary Care Nc Jv Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366181943
PECOS PAC ID: 0345614384
Enrollment ID: O20230315000375

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. Kavithamani Mallan 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 AddressPractice Location Address
Kavithamani Mallan, FNP
219 Begen St,
Morrisville, NC 27560-9769

Ph: (424) 757-3022		Kavithamani Mallan, FNP
249 E Hwy 54,
Durham, NC 27113

Ph: (919) 907-3334

Reviews and Comments


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Rebekah Doiron,
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Phone: 330-472-8733    
Mrs. Jaimie Ann Devine, CNP
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Priscila M Tomlin,
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Phone: 919-491-4661    
Josephine Winifred Hazeley, PMHNP-BC
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Practice Location: 1415 Nc-54 Suite 105, Durham, NC 27707
Phone: 919-275-1405    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.