Osric Armand Malone-prioleau, APRN, CRC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Saint Marys, West Virginia. His current practice location is
210 2nd St, Saint Marys, West Virginia. You can reach out to his office (for appointments etc.) via phone at
(304) 699-1419.
Osric Armand Malone-prioleau is licensed to practice in West Virginia (license number 78769) 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 1932416179.
Healthcare Provider's Profile
| Full Name | Osric Armand Malone-prioleau |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 210 2nd St, Saint Marys, West Virginia |
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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: 1932416179
- Provider Enumeration Date: 09/09/2010
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 3072705011
- Enrollment ID: I20101008000006
Medical Identifiers
Medical identifiers for Osric Armand Malone-prioleau such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932416179 | NPI | - | NPPES |
| 1477043552-001 | Medicaid | WV | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | 00105259 (* (Not Available)) | Secondary |
| 163W00000X | Registered Nurse | 78679 (West Virginia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 2010007619 (West Virginia) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 78769 (West Virginia) | Primary |
| 101YM0800X | Counselor - Mental Health | 00105259 (West Virginia) | 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. Osric Armand Malone-prioleau allows following entities to bill medicare on his behalf.
| Entity Name | Mindfulness Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477043552
PECOS PAC ID: 4486086915
Enrollment ID: O20191121000533 |
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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. Osric Armand Malone-prioleau 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 |
|---|
Osric Armand Malone-prioleau, APRN, CRC
210 2nd St,
Saint Marys, WV 26170-1097
Ph: (304) 699-1419 | Osric Armand Malone-prioleau, APRN, CRC
210 2nd St,
Saint Marys, WV 26170-1097
Ph: (304) 699-1419 |
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