David F Mallavia, OD is a medicare enrolled "Optometrist" provider in Page, Arizona. He went to Southern California College Of Optometry and graduated in 2004 and has 20 years of diverse experience with area of expertise as Optometry. His current practice location is
420 N Navajo Dr, Page, Arizona. You can reach out to his office (for appointments etc.) via phone at
(928) 645-2772.
David F Mallavia is licensed to practice in Arizona (license number 1379) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1215969019.
Healthcare Provider's Profile
Full Name | David F Mallavia |
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Gender | Male |
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Speciality | Optometry |
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Experience | 20 Years |
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Location | 420 N Navajo Dr, Page, Arizona |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- David F Mallavia attended and graduated from Southern California College Of Optometry in 2004
NPI Data:
- NPI Number: 1215969019
- Provider Enumeration Date: 07/06/2006
- Last Update Date: 02/04/2020
Medicare PECOS Information:
- PECOS PAC ID: 6103887781
- Enrollment ID: I20041027000091
Medical Identifiers
Medical identifiers for David F Mallavia such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215969019 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 1379 (Arizona) | 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. David F Mallavia allows following entities to bill medicare on his behalf.
Provider Name | Mallavia Od Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1417169251 PECOS PAC ID: 7113988791 Enrollment ID: O20041026001118 |
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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. David F Mallavia 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 |
David F Mallavia, OD Po Box 1806, Page, AZ 86040-1806 Ph: (928) 645-2772 | David F Mallavia, OD 420 N Navajo Dr, Page, AZ 86040-0950 Ph: (928) 645-2772 |
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