Tina Malm, PA in Ponchatoula, LA - Medicare Physician Assistant

Tina Malm, PA is a medicare enrolled "Physician Assistant" in Ponchatoula, Louisiana. She graduated from nursing school in 2007 and has 17 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Lake Urgent Care Ascension Llc and her current practice location is 1668 Us-51 N, Ponchatoula, Louisiana. You can reach out to her office (for appointments etc.) via phone at (985) 401-4022.

Tina Malm is licensed to practice in Louisiana (license number 324081) 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 1003041898.

Contact Information

	Tina Malm, PA
	1668 Us-51 N, Ponchatoula, LA 70454
	(985) 401-4022
	(985) 401-4023

Map and Direction

Provider's Profile

Full Name	Tina Malm
Gender	Female
Speciality	Physician Assistant
Experience	17 Years
Location	1668 Us-51 N, Ponchatoula, Louisiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Tina Malm graduated from nursing school in 2007

NPI Data:

NPI Number: 1003041898
Provider Enumeration Date: 05/21/2009
Last Update Date: 09/22/2021

Medicare PECOS Information:

PECOS PAC ID: 0244380657
Enrollment ID: I20201009000938

Medical Identifiers

Medical identifiers for Tina Malm such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003041898	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	0110002949 (Virginia)	Secondary
363A00000X	Physician Assistant	324081 (Louisiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lake Urgent Care Ascension Llc	0244479095	18

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. Tina Malm 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
Tina Malm, PA Po Box 3360, Portland, OR 97208-3360 Ph: () -	Tina Malm, PA 1668 Us-51 N, Ponchatoula, LA 70454 Ph: (985) 401-4022

Reviews and Comments

Physician Assistant Nurses in Ponchatoula, LA

Kimberly Christine Benson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 180 N 5th St, Ponchatoula, LA 70454 Phone: 985-370-7546 Fax: 985-370-7765
Emily Renee Peco, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 26316 Pale Ale Ct, Ponchatoula, LA 70454 Phone: 985-969-2662

Tina Malm, PA - Medicare Physician Assistant in Ponchatoula, LA