Lauren Mallak, in Burnsville, MN - Medicare Nurse Practitioner

Lauren Mallak, is a medicare enrolled "Nurse Practitioner - Family" in Burnsville, Minnesota. Her current practice location is 14000 Fairview Dr, Burnsville, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 993-8700.

Lauren Mallak is licensed to practice in Minnesota (license number 9427) 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 1396465738.

Contact Information

	Lauren Mallak,
	14000 Fairview Dr, Burnsville, MN 55337-5713
	(952) 993-8700
	Not Available

Map and Direction

Provider's Profile

Full Name	Lauren Mallak
Gender	Female
Speciality	Nurse Practitioner - Family
Location	14000 Fairview Dr, Burnsville, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396465738
Provider Enumeration Date: 08/29/2022
Last Update Date: 10/14/2022

Medicare PECOS Information:

PECOS PAC ID: 5193193985
Enrollment ID: I20221129002073

Medical Identifiers

Medical identifiers for Lauren Mallak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396465738	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	9427 (Minnesota)	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. Lauren Mallak allows following entities to bill medicare on her behalf.

Entity Name	Park Nicollet Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046

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. Lauren Mallak 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
Lauren Mallak, 8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516 Ph: () -	Lauren Mallak, 14000 Fairview Dr, Burnsville, MN 55337-5713 Ph: (952) 993-8700

Reviews and Comments

Nurse Practitioner Nurses in Burnsville, MN

Jeremy Leclaire, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 303 E Nicollet Blvd, Burnsville, MN 55337 Phone: 952-460-4000
Chara J Anderson, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 675 E Nicollet Blvd Ste 100, Burnsville, MN 55337 Phone: 952-892-7190 Fax: 952-892-7956
Michelle L Paulsen, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 675 E Nicollet Blvd Ste 100, Burnsville, MN 55337 Phone: 952-892-7190 Fax: 952-892-7956
Rebecca Suess, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13903 Aldrich Ave S, Burnsville, MN 55337 Phone: 952-479-0603
Ms. Therese Mary Maas, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14551 County Road 11 Ste 100, Burnsville, MN 55337 Phone: 952-841-2345 Fax: 952-841-2346
Sherri Fuller, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 303 E Nicollet Blvd, Suite 200, Burnsville, MN 55337 Phone: 952-460-4000 Fax: 952-460-4000
Dr. Pennie Elizabeth Bucilla, APRN CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1500 Mcandrews Rd W, Burnsville, MN 55337 Phone: 952-892-9393 Fax: 952-800-8892

Lauren Mallak, - Medicare Nurse Practitioner in Burnsville, MN