Molly Jane Malmstrom, CPNP-PC in Fergus Falls, MN

Molly Jane Malmstrom, CPNP-PC is a medicare enrolled "Nurse Practitioner - Pediatrics" in Fergus Falls, Minnesota. Her current practice location is 111 W Vernon Ave, Fergus Falls, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 739-2221.

Molly Jane Malmstrom is licensed to practice in Minnesota (license number 10116) 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 1922793553.

Contact Information

	Molly Jane Malmstrom, CPNP-PC
	111 W Vernon Ave, Fergus Falls, MN 56537-2741
	(218) 739-2221
	Not Available

Map and Direction

Provider's Profile

Full Name	Molly Jane Malmstrom
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	111 W Vernon Ave, Fergus Falls, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922793553
Provider Enumeration Date: 04/10/2023
Last Update Date: 04/10/2023

Medicare PECOS Information:

PECOS PAC ID: 9537520226
Enrollment ID: I20230727001772

Medical Identifiers

Medical identifiers for Molly Jane Malmstrom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922793553	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	10116 (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. Molly Jane Malmstrom allows following entities to bill medicare on her behalf.

Entity Name	Lake Region Healthcare Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093713372 PECOS PAC ID: 3971565334 Enrollment ID: O20060109000246

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. Molly Jane Malmstrom 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
Molly Jane Malmstrom, CPNP-PC 31183 180th St, Underwood, MN 56586-9523 Ph: (218) 405-0880	Molly Jane Malmstrom, CPNP-PC 111 W Vernon Ave, Fergus Falls, MN 56537-2741 Ph: (218) 739-2221

Reviews and Comments

Nurse Practitioner Nurses in Fergus Falls, MN

Sheryl Olson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 712 S Cascade St, Fergus Falls, MN 56537 Phone: 218-736-8000 Fax: 218-739-5501
Alena Storlie, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 712 S Cascade St, Fergus Falls, MN 56537 Phone: 218-736-8000
Rebecca Rae Boesl, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 712 S Cascade St, Fergus Falls, MN 56537 Phone: 218-736-8000
Joel Justin Anderson, MSN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2311 W Lincoln Ave, Fergus Falls, MN 56537 Phone: 218-739-8600
Katie Martin, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 712 S Cascade St, Fergus Falls, MN 56537 Phone: 218-736-8000
Marie Braaten, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 712 South Cascade Street, Fergus Falls, MN 56537 Phone: 218-736-8000 Fax: 218-736-8757
Amy J Fisher, MAN RN CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 712 S Cascade St, Fergus Falls, MN 56537 Phone: 218-739-2221

Molly Jane Malmstrom, CPNP-PC - Medicare Nurse Practitioner in Fergus Falls, MN