Chase L Malloy, in Kingman, AZ - Medicare Physical Therapist Provider

Chase L Malloy, is a medicare enrolled "Physical Therapist" provider in Kingman, Arizona. His current practice location is 3801 Santa Rosa Dr, Kingman, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 757-2101.

Chase L Malloy is licensed to practice in Maine (license number PT6514) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1639869381.

Contact Information

	Chase L Malloy,
	3801 Santa Rosa Dr, Kingman, AZ 86401-2311
	(928) 757-2101
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Chase L Malloy
Gender	Male
Speciality	Physical Therapist
Location	3801 Santa Rosa Dr, Kingman, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639869381
Provider Enumeration Date: 05/08/2023
Last Update Date: 09/04/2024

Medicare PECOS Information:

PECOS PAC ID: 3173981495
Enrollment ID: I20230620000375

Medical Identifiers

Medical identifiers for Chase L Malloy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639869381	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT6514 (Maine)	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. Chase L Malloy allows following entities to bill medicare on his behalf.

Provider Name	Pinnacle Rehabilitation Network Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1437247095 PECOS PAC ID: 7618872086 Enrollment ID: O20120830000519

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. Chase L Malloy 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
Chase L Malloy, 202 Bagley Rd, Madison, ME 04950-3522 Ph: (207) 431-5541	Chase L Malloy, 3801 Santa Rosa Dr, Kingman, AZ 86401-2311 Ph: (928) 757-2101

Reviews and Comments

Physical Therapist in Kingman, AZ

Peyton Matthew Cardiff, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2120 Airway Ave, Kingman, AZ 86409 Phone: 928-757-1211
Mrs. Kimberly Ann Brisco, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2120 Airway Avenue, Kingman, AZ 86409 Phone: 928-757-1211 Fax: 928-757-8826
Kenneth Mcadow, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2404 Stockton Hill Road, Suite K, Kingman, AZ 86401 Phone: 928-440-6880
Lisa A Alexander, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2505 Hualapai Mountain, Suite E, Kingman, AZ 86401 Phone: 928-718-4300
John Brit Haws, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3131 Western Ave, Kingman, AZ 86401 Phone: 928-718-0718
Mr. David Lee Schmitz, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 2120 Airway Ave, Kingman, AZ 86409 Phone: 928-757-1211 Fax: 928-757-8826
Kimberley Kiel Deering, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1841 E Morrow Ave, Kingman, AZ 86409 Phone: 928-753-4263 Fax: 928-753-1173

Chase L Malloy, - Medicare Physical Therapist in Kingman, AZ