Dr Jill Mallin, PHD, LP in Fort Atkinson, WI - Medicare Clinical Psychologist Provider

Dr Jill Mallin, PHD, LP is a medicare enrolled "Psychologist" provider in Fort Atkinson, Wisconsin. She graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is 201 N Main St Ste 411, Fort Atkinson, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 397-4015.

Dr Jill Mallin is licensed to practice in Wisconsin (license number 2850-57) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1184248593.

Contact Information

	Dr Jill Mallin, PHD, LP
	201 N Main St Ste 411, Fort Atkinson, WI 53538-1805
	(920) 397-4015
	(608) 237-2146

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jill Mallin
Gender	Female
Speciality	Clinical Psychologist
Experience	17 Years
Location	201 N Main St Ste 411, Fort Atkinson, Wisconsin
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Jill Mallin graduated from medical school in 2007

NPI Data:

NPI Number: 1184248593
Provider Enumeration Date: 06/01/2020
Last Update Date: 01/12/2023

Medicare PECOS Information:

PECOS PAC ID: 0840603247
Enrollment ID: I20210104000537

Medical Identifiers

Medical identifiers for Dr Jill Mallin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184248593	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	2850-57 (Wisconsin)	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. Dr Jill Mallin allows following entities to bill medicare on her behalf.

Entity Name	Hidden Path Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528683679 PECOS PAC ID: 8022421429 Enrollment ID: O20210104000493

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. Dr Jill Mallin 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
Dr Jill Mallin, PHD, LP 201 N Main St Ste 411, Fort Atkinson, WI 53538-1805 Ph: (920) 397-4015	Dr Jill Mallin, PHD, LP 201 N Main St Ste 411, Fort Atkinson, WI 53538-1805 Ph: (920) 397-4015

Reviews and Comments

Psychologist in Fort Atkinson, WI

Dr. Sheila Kay Kozler Sr., PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1550 Madison Ave, Suite # 102-104, Fort Atkinson, WI 53538 Phone: 920-723-0307
Randall L Daut, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 509 Mcmillen St, Fort Atkinson, WI 53538 Phone: 920-563-7995 Fax: 920-568-6047
Nicholas J Bisenius, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 509 Mcmillen St, Fort Atkinson, WI 53538 Phone: 920-563-7995 Fax: 920-568-6047
Samuel C Smith, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 509 Mcmillen St, Fort Atkinson, WI 53538 Phone: 920-563-7995 Fax: 920-568-6047
Stephen F Seaman, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1520 Madison Ave, Fort Atkinson, WI 53538 Phone: 920-563-4224 Fax: 920-563-4472

Dr Jill Mallin, PHD, LP - Medicare Psychologist in Fort Atkinson, WI