Ms Sujata Kunwar Malla, CRNP-PMH in Salisbury, MD

Ms Sujata Kunwar Malla, CRNP-PMH is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Salisbury, Maryland. Her current practice location is 1104 Healthway Dr, Salisbury, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 219-5483.

Ms Sujata Kunwar Malla is licensed to practice in Maryland (license number R251222) 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 1487418141.

Contact Information

	Ms Sujata Kunwar Malla, CRNP-PMH
	1104 Healthway Dr, Salisbury, MD 21804-4469
	(410) 219-5483
	(410) 219-5486

Map and Direction

Provider's Profile

Full Name	Ms Sujata Kunwar Malla
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1104 Healthway Dr, Salisbury, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487418141
Provider Enumeration Date: 02/12/2024
Last Update Date: 08/20/2024

Medicare PECOS Information:

PECOS PAC ID: 9032559562
Enrollment ID: I20240501002993

Medical Identifiers

Medical identifiers for Ms Sujata Kunwar Malla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487418141	NPI	-	NPPES
119591300	Medicaid	MD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R251222 (Maryland)	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 Sujata Kunwar Malla allows following entities to bill medicare on her behalf.

Entity Name	Three Lower Counties Community Services Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154354744 PECOS PAC ID: 3678484300 Enrollment ID: O20040324000093

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 Sujata Kunwar Malla 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 Sujata Kunwar Malla, CRNP-PMH Po Box 1978, Salisbury, MD 21802-1978 Ph: (410) 749-1015	Ms Sujata Kunwar Malla, CRNP-PMH 1104 Healthway Dr, Salisbury, MD 21804-4469 Ph: (410) 219-5483

Reviews and Comments

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Ms Sujata Kunwar Malla, CRNP-PMH - Medicare Nurse Practitioner in Salisbury, MD