Mallavia Od Pc - Medicare Optometrist in Page, AZ

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Mallavia Od Pc is a medicare enrolled "Optometrist" provider in Page, Arizona. Their current practice location is 124 Sixth Ave, Box 1806, Page, Arizona. You can reach out to their office (for appointments etc.) via phone at (928) 645-2772.

Mallavia Od Pc is licensed to practice in Arizona (license number 1379) and it also participates in the medicare program. Mallavia Od Pc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1417169251.

Contact Information

Mallavia Od Pc
124 Sixth Ave, Box 1806,
Page, AZ 86040-1806
(928) 645-2772
(928) 645-9508

Map and Direction




Healthcare Provider's Profile

Full NameMallavia Od Pc
TypeFacility
SpecialityOptometrist
Location124 Sixth Ave, Page, Arizona
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1417169251
  • Provider Enumeration Date: 05/04/2007
  • Last Update Date: 12/31/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 7113988791
  • Enrollment ID: O20041026001118

Medical Identifiers

Medical identifiers for Mallavia Od Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417169251NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 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. Mallavia Od Pc acts as a billing entity for following providers:
Provider NameDavid F Mallavia
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1215969019
PECOS PAC ID: 6103887781
Enrollment ID: I20041027000091

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. Mallavia Od Pc 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 AddressPractice Location Address
Mallavia Od Pc
Po Box 1806, 124 6 Ave,
Page, AZ 86040-1806

Ph: (928) 645-2772		Mallavia Od Pc
124 Sixth Ave, Box 1806,
Page, AZ 86040-1806

Ph: (928) 645-2772

Reviews and Comments


Optometrist in Page, AZ

David F Mallavia, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 420 N Navajo Dr, Page, AZ 86040
Phone: 928-645-2772    Fax: 928-645-9508

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.