Alisha Fay Maly, PA is a medicare enrolled "Physician Assistant" physician in Kenosha, Wisconsin. He graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Madison Emergency Physicians Sc, Stoughton Hospital Association and his current practice location is
10400 75th St, Aurora Medical Center, Kenosha, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(262) 697-7000.
Alisha Fay Maly is licensed to practice in Wisconsin (license number 1690-023) 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 1275517443.
Physician's Profile
| Full Name | Alisha Fay Maly |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 21 Years |
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| Location | 10400 75th St, Kenosha, Wisconsin |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Alisha Fay Maly graduated from medical school in 2003
NPI Data:
- NPI Number: 1275517443
- Provider Enumeration Date: 12/01/2005
- Last Update Date: 07/31/2018
Medicare PECOS Information:
- PECOS PAC ID: 4284619057
- Enrollment ID: I20040624000290
Medical Identifiers
Medical identifiers for Alisha Fay Maly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275517443 | NPI | - | NPPES |
| 41987700 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 1690023 (Wisconsin) | Secondary |
| 363A00000X | Physician Assistant | 1690-023 (Wisconsin) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Madison Emergency Physicians Sc | 4587631858 | 45 |
| Stoughton Hospital Association | 7012825706 | 43 |
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. Alisha Fay Maly 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 |
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Alisha Fay Maly, PA
Po Box 3043, Mea Aea Kenosh Sc,
Oak Brook, IL 60522-3043
Ph: (630) 734-0200 | Alisha Fay Maly, PA
10400 75th St, Aurora Medical Center,
Kenosha, WI 53142
Ph: (262) 697-7000 |
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