Dr Michael Stephen Mallahan, AUD is a
Audiologist based in Mill Creek, Washington. Dr Michael Stephen Mallahan is licensed to practice in Washington (license number LD0001117) and his current practice location is
15906 Mill Creek Blvd, Suite 102, Mill Creek, Washington. He can be reached at his office (for appointments etc.) via phone at
(425) 225-2626.
NPI number for Dr Michael Stephen Mallahan is 1194720367 and his current mailing address is 15906 Mill Creek Blvd, Suite 102, Mill Creek, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1194720367.
Healthcare Provider's Profile
| Full Name | Dr Michael Stephen Mallahan |
|---|
| Gender | Male |
|---|
| Speciality | Audiologist |
|---|
| Location | 15906 Mill Creek Blvd, Mill Creek, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1194720367
- Provider Enumeration Date: 06/15/2005
- Last Update Date: 12/30/2010
Medical Identifiers
Medical identifiers for Dr Michael Stephen Mallahan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194720367 | NPI | - | NPPES |
| 7089592 | Medicaid | WA | |
| 117072 | Other | WA | DEPT. OF LABOR & IND. |
| MA5615 | Other | WA | REGENCE ID # |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 231HA2400X | Audiologist - Assistive Technology Practitioner | LD00001117 (Washington) | Secondary |
| 231H00000X | Audiologist | LD0001117 (Washington) | Primary |
| 231HA2500X | Audiologist - Assistive Technology Supplier | LD00001117 (Washington) | Secondary |
| 237600000X | Audiologist-hearing Aid Fitter | LD00001117 (Washington) | Secondary |
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 Michael Stephen Mallahan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Michael Stephen Mallahan, AUD
15906 Mill Creek Blvd, Suite 102,
Mill Creek, WA 98012-1797
Ph: (425) 225-2626 | Dr Michael Stephen Mallahan, AUD
15906 Mill Creek Blvd, Suite 102,
Mill Creek, WA 98012-1797
Ph: (425) 225-2626 |
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