Dr Joseph M Malters, MD is a medicare enrolled "Dermatology" physician in Rolla, Missouri. His current practice location is
10101 Stoltz Dr, Rolla, Missouri. You can reach out to his office (for appointments etc.) via phone at
(573) 364-0122.
Dr Joseph M Malters is licensed to practice in Missouri (license number MO2001027199) 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 1689760233.
Physician's Profile
| Full Name | Dr Joseph M Malters |
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| Gender | Male |
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| Speciality | Dermatology |
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| Location | 10101 Stoltz Dr, Rolla, Missouri |
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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: 1689760233
- Provider Enumeration Date: 10/04/2006
- Last Update Date: 10/01/2020
Medicare PECOS Information:
- PECOS PAC ID: 2466645254
- Enrollment ID: I20101026000256
Medical Identifiers
Medical identifiers for Dr Joseph M Malters such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689760233 | NPI | - | NPPES |
| 152311 | Other | MO | BLUE CROSS BLUE SHIELD |
| 205419906 | Medicaid | MO | |
| 506121300 | Medicaid | MO | |
| 0300281 | Other | MO | UNITED HEALTHCARE PROVIDE |
| 138107 | Other | MO | HEALTHLINK PROVIDER # |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 2001027199 (Missouri) | Secondary |
| 207N00000X | Dermatology | MO2001027199 (Missouri) | 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. Dr Joseph M Malters allows following entities to bill medicare on his behalf.
| Entity Name | Dermatology Center, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154486827
PECOS PAC ID: 8820281611
Enrollment ID: O20101025001385 |
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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 Joseph M Malters 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 Joseph M Malters, MD
10101 Stoltz Dr,
Rolla, MO 65401-7714
Ph: (573) 364-0122 | Dr Joseph M Malters, MD
10101 Stoltz Dr,
Rolla, MO 65401-7714
Ph: (573) 364-0122 |
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