Ms Shauntelle Malcolm, RN in Mattapan, MA - Medicare Nurse Practitioner

Ms Shauntelle Malcolm, RN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Mattapan, Massachusetts. Her current practice location is 1575 Blue Hill Ave, Mattapan, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (617) 296-0061.

Ms Shauntelle Malcolm is licensed to practice in Massachusetts (license number RN2278372) 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 1225468804.

Contact Information

	Ms Shauntelle Malcolm, RN
	1575 Blue Hill Ave, Mattapan, MA 02126-2122
	(617) 296-0061
	(617) 296-5408

Map and Direction

Provider's Profile

Full Name	Ms Shauntelle Malcolm
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1575 Blue Hill Ave, Mattapan, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225468804
Provider Enumeration Date: 11/19/2013
Last Update Date: 08/25/2022

Medicare PECOS Information:

PECOS PAC ID: 9537535224
Enrollment ID: I20221020002897

Medical Identifiers

Medical identifiers for Ms Shauntelle Malcolm such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225468804	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN2278372 (Massachusetts)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	RN2278372 (Massachusetts)	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. Ms Shauntelle Malcolm allows following entities to bill medicare on her behalf.

Entity Name	Mattapan Community Health Center, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942869342 PECOS PAC ID: 2062423866 Enrollment ID: O20190617001304

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. Ms Shauntelle 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 Address	Practice Location Address
Ms Shauntelle Malcolm, RN 1575 Blue Hill Ave, Mattapan, MA 02126-2122 Ph: (617) 296-0061	Ms Shauntelle Malcolm, RN 1575 Blue Hill Ave, Mattapan, MA 02126-2122 Ph: (617) 296-0061

Reviews and Comments

Nurse Practitioner Nurses in Mattapan, MA

Olasumbo Fadiya, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7 Cragmere Ter, Apt. #1, Mattapan, MA 02126 Phone: 617-407-5875
Mrs. Elizabeth A. Maffie, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1135 Morton St, Mattapan, MA 02126 Phone: 617-533-2400 Fax: 617-533-2478
Ms. Laverne Lydia Dickson, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1575 Blue Hill Ave, Mattapan, MA 02126 Phone: 617-296-0061
Mr. Richard Thomas Gunn, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1135 Morton St, Mattapan, MA 02126 Phone: 617-533-2400
Ruth A. Raczkowski, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1135 Morton St, Mattapan, MA 02126 Phone: 617-533-2400 Fax: 617-533-2401
Laura L. Stanley, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1135 Morton Street, Mattapan, MA 02126 Phone: 617-533-2400 Fax: 617-533-2401
Ms. Tracy Elizabeth Benavides, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 87 W Selden St, Mattapan, MA 02126 Phone: 857-500-3022

Ms Shauntelle Malcolm, RN - Medicare Nurse Practitioner in Mattapan, MA