Mrs Mallory Decesare, PA-S2 in Baltimore, MD - Medicare Physician Assistant

Mrs Mallory Decesare, PA-S2 is a medicare enrolled "Physician Assistant" in Baltimore, Maryland. Her current practice location is 2401 W Belvedere Ave, Baltimore, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 601-8100.

Mrs Mallory Decesare is licensed to practice in Maryland (license number C09151) 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 1831811389.

Contact Information

	Mrs Mallory Decesare, PA-S2
	2401 W Belvedere Ave, Baltimore, MD 21215-5216
	(410) 601-8100
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Mallory Decesare
Gender	Female
Speciality	Physician Assistant
Location	2401 W Belvedere Ave, Baltimore, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831811389
Provider Enumeration Date: 09/12/2022
Last Update Date: 11/14/2023

Medicare PECOS Information:

PECOS PAC ID: 9032567284
Enrollment ID: I20231128002629

Medical Identifiers

Medical identifiers for Mrs Mallory Decesare such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831811389	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	C09151 (Maryland)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

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. Mrs Mallory Decesare 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
Mrs Mallory Decesare, PA-S2 670 Heathermoor Ln, Perrysburg, OH 43551-2928 Ph: () -	Mrs Mallory Decesare, PA-S2 2401 W Belvedere Ave, Baltimore, MD 21215-5216 Ph: (410) 601-8100

Reviews and Comments

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Mrs Mallory Decesare, PA-S2 - Medicare Physician Assistant in Baltimore, MD