Nicolette S Maillis, PHARMD is a
Pharmacist based in Bayside, Wisconsin. Nicolette S Maillis is licensed to practice in Wisconsin (license number 1338840) and her current practice location is
536 E Fairy Chasm Rd, Bayside, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(414) 217-2388.
NPI number for Nicolette S Maillis is 1598101107 and her current mailing address is 536 E Fairy Chasm Rd, Bayside, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1598101107.
Healthcare Provider's Profile
Full Name | Nicolette S Maillis |
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Gender | Female |
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Speciality | Pharmacist |
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Location | 536 E Fairy Chasm Rd, Bayside, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1598101107
- Provider Enumeration Date: 05/22/2013
- Last Update Date: 05/22/2013
Medical Identifiers
Medical identifiers for Nicolette S Maillis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1598101107 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
183500000X | Pharmacist | 1338840 (Wisconsin) | Primary |
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. Nicolette S Maillis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Nicolette S Maillis, PHARMD 536 E Fairy Chasm Rd, Bayside, WI 53217-1810 Ph: (414) 217-2388 | Nicolette S Maillis, PHARMD 536 E Fairy Chasm Rd, Bayside, WI 53217-1810 Ph: (414) 217-2388 |
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