Gregory V Mallis, PSYD in Grand Rapids, MI - Medicare Clinical Psychologist Provider

Gregory V Mallis, PSYD is a medicare enrolled "Psychologist" provider in Grand Rapids, Michigan. He graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Pine Rest Christian Mental Health Services and his current practice location is 1870 Leonard St Se, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 956-1122.

Gregory V Mallis is licensed to practice in Michigan (license number 6301015440) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1780022194.

Contact Information

	Gregory V Mallis, PSYD
	1870 Leonard St Se, Grand Rapids, MI 49505-5650
	(616) 956-1122
	(616) 956-8033

Map and Direction

Healthcare Provider's Profile

Full Name	Gregory V Mallis
Gender	Male
Speciality	Clinical Psychologist
Experience	12 Years
Location	1870 Leonard St Se, Grand Rapids, Michigan
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Gregory V Mallis graduated from medical school in 2012

NPI Data:

NPI Number: 1780022194
Provider Enumeration Date: 06/07/2013
Last Update Date: 06/07/2013

Medicare PECOS Information:

PECOS PAC ID: 4789816299
Enrollment ID: I20140416001116

Medical Identifiers

Medical identifiers for Gregory V Mallis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780022194	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	6301015440 (Michigan)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Pine Rest Christian Mental Health Services	4981506508	314

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. Gregory V Mallis allows following entities to bill medicare on his behalf.

Entity Name	Pine Rest Christian Mental Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780695411 PECOS PAC ID: 4981506508 Enrollment ID: O20040213000149

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. Gregory V Mallis 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
Gregory V Mallis, PSYD 1870 Leonard Street Se, Grand Rapids, MI 49505-5650 Ph: (616) 956-1122	Gregory V Mallis, PSYD 1870 Leonard St Se, Grand Rapids, MI 49505-5650 Ph: (616) 956-1122

Reviews and Comments

Psychologist in Grand Rapids, MI

Dynetta Clark, MA, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 805 Leonard St Ne, Grand Rapids, MI 49503 Phone: 616-451-2021 Fax: 616-774-1001
Mrs. Amy E Pugh, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 35 Michigan St Ne Ste 5201, Grand Rapids, MI 49503 Phone: 616-267-2830 Fax: 616-267-9024
Meghan Cytacki-lewis, MA, TLLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 333 Bridge St Nw Ste 1120, Grand Rapids, MI 49504 Phone: 616-805-3660
Michelle Marie Muenzenmeyer, LLP, CHMC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2020 Raybrook St Se Ste 102-1, Grand Rapids, MI 49546 Phone: 616-795-0900 Fax: 616-795-0899
Jehricole Olenzuk, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 829 Forest Hill Ave Se, Grand Rapids, MI 49546 Phone: 616-949-2410
Adrian Hernandez, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 360 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49506 Phone: 616-805-3660
Marcia Hollingsworth, EDD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1870 Leonard Ne, Grand Rapids, MI 49505 Phone: 616-956-1122 Fax: 616-956-8033

Gregory V Mallis, PSYD - Medicare Psychologist in Grand Rapids, MI