Brooke Mallaber, is a medicare enrolled "Physical Therapist" provider in Livonia, New York. Her current practice location is
113 Kensington Ct, Livonia, New York. You can reach out to her office (for appointments etc.) via phone at
(585) 329-3716.
Brooke Mallaber is licensed to practice in New York (license number 2305209670) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1528423449.
Healthcare Provider's Profile
| Full Name | Brooke Mallaber |
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| Gender | Female |
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| Speciality | Physical Therapist |
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| Location | 113 Kensington Ct, Livonia, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1528423449
- Provider Enumeration Date: 12/18/2015
- Last Update Date: 06/11/2019
Medicare PECOS Information:
- PECOS PAC ID: 6204128911
- Enrollment ID: I20160715001146
Medical Identifiers
Medical identifiers for Brooke Mallaber such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1528423449 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 294610 (California) | Secondary |
| 225100000X | Physical Therapist | 2305209670 (New York) | 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. Brooke Mallaber allows following entities to bill medicare on her behalf.
| Provider Name | Affinity Rehabilitation Llp |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1346530169
PECOS PAC ID: 4789843376
Enrollment ID: O20120319000314 |
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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. Brooke Mallaber 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 |
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Brooke Mallaber,
113 Kensington Ct,
Livonia, NY 14487-9762
Ph: () - | Brooke Mallaber,
113 Kensington Ct,
Livonia, NY 14487-9762
Ph: (585) 329-3716 |
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