Dr Michael Stephen Mallahan, AUD is a medicare enrolled "Audiologist" provider in Mill Creek, Washington. His current practice location is
15906 Mill Creek Blvd, Suite 102, Mill Creek, Washington. You can reach out to his office (for appointments etc.) via phone at
(425) 225-2626.
Dr Michael Stephen Mallahan is licensed to practice in Washington (license number LD0001117) 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 1194720367.
Healthcare Provider's Profile
| Full Name | Dr Michael Stephen Mallahan |
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| Gender | Male |
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| Speciality | Audiologist |
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| Location | 15906 Mill Creek Blvd, Mill Creek, Washington |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1194720367
- Provider Enumeration Date: 06/15/2005
- Last Update Date: 12/30/2010
Medicare PECOS Information:
- PECOS PAC ID: 6204817463
- Enrollment ID: I20110520000631
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 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 Michael Stephen Mallahan allows following entities to bill medicare on his behalf.
| Provider Name | Lifestyle Hearing Corporation Usa Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1316338346
PECOS PAC ID: 6901106707
Enrollment ID: O20180125001053 |
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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
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 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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