Mallesha Malcolm, CNM, WHNP-BC - Medicare Advanced Practice Midwife in New York, NY

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Mallesha Malcolm, CNM, WHNP-BC is a medicare enrolled "Advanced Practice Midwife" in New York, New York. Her current practice location is 5141 Broadway # 1rw097, New York, New York. You can reach out to her office (for appointments etc.) via phone at (212) 932-4000.

Mallesha Malcolm is licensed to practice in New York (license number 002274) 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 1245675354.

Contact Information

Mallesha Malcolm, CNM, WHNP-BC
5141 Broadway # 1rw097,
New York, NY 10034-1159
(212) 932-4000
Not Available

Map and Direction




Provider's Profile

Full NameMallesha Malcolm
GenderFemale
SpecialityAdvanced Practice Midwife
Location5141 Broadway # 1rw097, New York, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1245675354
  • Provider Enumeration Date: 05/02/2013
  • Last Update Date: 01/07/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 5890020556
  • Enrollment ID: I20190717002597

Medical Identifiers

Medical identifiers for Mallesha Malcolm such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245675354NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 668050 (New York)Secondary
363LW0102XNurse Practitioner - Women's Health R244748 (Maryland)Secondary
363LW0102XNurse Practitioner - Women's Health 421305 (New York)Secondary
367A00000XAdvanced Practice Midwife CNM07597 (Maryland)Secondary
367A00000XAdvanced Practice Midwife 002274 (New York)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. Mallesha Malcolm allows following entities to bill medicare on her behalf.
Entity NameProhealth Care Associates Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275596280
PECOS PAC ID: 4486544186
Enrollment ID: O20040317000468
Entity NameNorth Shore - Lij Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053688572
PECOS PAC ID: 3375701568
Enrollment ID: O20120220000262
Entity NameTrustees Of Columbia University In The City Of New York
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508266347
PECOS PAC ID: 8527972546
Enrollment ID: O20151201002613

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. Mallesha 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 AddressPractice Location Address
Mallesha Malcolm, CNM, WHNP-BC
5141 Broadway # 1rw097,
New York, NY 10034-1159

Ph: (212) 932-4200		Mallesha Malcolm, CNM, WHNP-BC
5141 Broadway # 1rw097,
New York, NY 10034-1159

Ph: (212) 932-4000

Reviews and Comments


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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.