Nicole M Malley, PA is a medicare enrolled "Physician Assistant" in Marksville, Louisiana. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Hulin Urgent Care Services Llc and her current practice location is
863 Tunica Dr E, Marksville, Louisiana. You can reach out to her office (for appointments etc.) via phone at
(318) 717-1175.
Nicole M Malley is licensed to practice in Louisiana (license number 311571) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1649564964.
Provider's Profile
| Full Name | Nicole M Malley |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 13 Years |
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| Location | 863 Tunica Dr E, Marksville, Louisiana |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Nicole M Malley graduated from nursing school in 2011
NPI Data:
- NPI Number: 1649564964
- Provider Enumeration Date: 06/03/2011
- Last Update Date: 04/23/2020
Medicare PECOS Information:
- PECOS PAC ID: 3577734094
- Enrollment ID: I20191113000086
Medical Identifiers
Medical identifiers for Nicole M Malley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649564964 | NPI | - | NPPES |
| 286422501 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | PA7387 (Texas) | Secondary |
| 363A00000X | Physician Assistant | 311571 (Louisiana) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Hulin Urgent Care Services Llc | 6800051285 | 111 |
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. Nicole M Malley 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 |
|---|
Nicole M Malley, PA
1012 Petroleum Pkwy,
Broussard, LA 70518-8020
Ph: (337) 465-4600 | Nicole M Malley, PA
863 Tunica Dr E,
Marksville, LA 71351-3076
Ph: (318) 717-1175 |
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