Prashanth A Mally, MD in Fairfax, VA - Medicare Anesthesiology

Prashanth A Mally, MD is a medicare enrolled "Anesthesiology - Pain Medicine" physician in Fairfax, Virginia. He graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Kaiser Foundation Health Plan Of The Mid-atlantic States,inc and his current practice location is 12255 Fair Lakes Pkwy, Fairfax, Virginia. You can reach out to his office (for appointments etc.) via phone at (703) 934-5700.

Prashanth A Mally is licensed to practice in Virginia (license number 101244719) 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 1669649729.

Contact Information

	Prashanth A Mally, MD
	12255 Fair Lakes Pkwy, Fairfax, VA 22033-3952
	(703) 934-5700
	Not Available

Map and Direction

Physician's Profile

Full Name	Prashanth A Mally
Gender	Male
Speciality	Anesthesiology
Experience	21 Years
Location	12255 Fair Lakes Pkwy, Fairfax, Virginia
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:

Prashanth A Mally graduated from medical school in 2003

NPI Data:

NPI Number: 1669649729
Provider Enumeration Date: 05/08/2008
Last Update Date: 11/23/2021

Medicare PECOS Information:

PECOS PAC ID: 8921144429
Enrollment ID: I20110524000330

Medical Identifiers

Medical identifiers for Prashanth A Mally such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669649729	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207LP2900X	Anesthesiology - Pain Medicine	101244719 (Virginia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kaiser Foundation Health Plan Of The Mid-atlantic States,inc	3779495858	1673

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. Prashanth A Mally allows following entities to bill medicare on his behalf.

Entity Name	Kaiser Foundation Health Plan Of The Mid-atlantic States,inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952461816 PECOS PAC ID: 3779495858 Enrollment ID: O20040105000308

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. Prashanth A Mally 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
Prashanth A Mally, MD 2101 E Jefferson St, Kaiser Permanente Medicare Enrollment, Rockville, MD 20852-4908 Ph: (301) 816-2424	Prashanth A Mally, MD 12255 Fair Lakes Pkwy, Fairfax, VA 22033-3952 Ph: (703) 934-5700

Reviews and Comments

Anesthesiology Doctors in Fairfax, VA

Mrs. Gloria Gilbert Black, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3600 Joseph Siewick Dr, Fairfax, VA 22033 Phone: 703-295-9360 Fax: 703-295-9369
Barry Burureser Mcconville, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 10730 Main Street, Fairfax, VA 22030 Phone: 301-317-0020 Fax: 301-317-0028
Hang Jin Yoon, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 10734 Main Street, Fairfax, VA 22030 Phone: 301-317-0020 Fax: 301-317-0028
Nancy R Couleman, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 8501 Arlington Blvd, Suite 550, Fairfax, VA 22031 Phone: 703-573-2363 Fax: 703-573-7609
Sang Joong Jeon, MEDICAL DOCTOR Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 10730 Main Street, Fairfax, VA 22030 Phone: 301-317-0020 Fax: 301-317-0028
Dr. Kaadze M Wright, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 3600 Joseph Siewick Dr, Fairfax, VA 22033 Phone: 703-295-9360 Fax: 703-295-9369
Dr. Jai K Lee, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3600 Joseph Siewick Dr, Fairfax, VA 22033 Phone: 703-391-3129 Fax: 703-295-9369

Prashanth A Mally, MD - Medicare Anesthesiology in Fairfax, VA