Matthew Mallin, LCSW in Fort Atkinson, WI - Medicare Social Worker Provider

Matthew Mallin, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Fort Atkinson, Wisconsin. His current practice location is 1520 Madison Ave, Fort Atkinson, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 563-5500.

Matthew Mallin is licensed to practice in Wisconsin (license number 7548-123) 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 1841884277.

Contact Information

	Matthew Mallin, LCSW
	1520 Madison Ave, Fort Atkinson, WI 53538-3100
	(920) 563-5500
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Matthew Mallin
Gender	Male
Speciality	Social Worker - Clinical
Location	1520 Madison Ave, Fort Atkinson, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841884277
Provider Enumeration Date: 02/25/2021
Last Update Date: 10/07/2022

Medicare PECOS Information:

PECOS PAC ID: 6204244742
Enrollment ID: I20210421001598

Medical Identifiers

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

Identifier	Type	State	Issuer
1841884277	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	7548-123 (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. Matthew Mallin allows following entities to bill medicare on his behalf.

Entity Name	Fort Healthcare Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417993361 PECOS PAC ID: 0840189718 Enrollment ID: O20040319001411

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. Matthew 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
Matthew Mallin, LCSW 301 Cherokee Ln, Fort Atkinson, WI 53538-3006 Ph: (608) 322-8553	Matthew Mallin, LCSW 1520 Madison Ave, Fort Atkinson, WI 53538-3100 Ph: (920) 563-5500

Reviews and Comments

Social Worker in Fort Atkinson, WI

Mary Alethea Holman, MSSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1631 Janesville Ave, Fort Atkinson, WI 53538 Phone: 920-563-9375 Fax: 920-563-9576
Kathleen Cauley, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: N3045 County Road J, Fort Atkinson, WI 53538 Phone: 920-728-0520
Margaret M Schroeder, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 211 S Main St, Ste 105, Fort Atkinson, WI 53538 Phone: 920-342-2217
Stephanie P Belzer, APSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 509 Mcmillen St, Fort Atkinson, WI 53538 Phone: 920-563-9542 Fax: 920-568-6047
Elizabeth Ann Hunkins, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 500 Mcmillen St, Fort Atkinson, WI 53538 Phone: 920-563-9542
Holly Kollwelter, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: N595 Wishing Well Ln, Fort Atkinson, WI 53538 Phone: 608-345-8482
Christine E Beckman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 509 Mcmillen St, Fort Atkinson, WI 53538 Phone: 920-563-7995 Fax: 920-568-6047

Matthew Mallin, LCSW - Medicare Clinical Social Worker in Fort Atkinson, WI