Dr Matthew Micah Malan, MD in Jbsa Lackland, TX

Dr Matthew Micah Malan, MD is a medicare enrolled "Dermatology" physician in Jbsa Lackland, Texas. His current practice location is 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, Texas. You can reach out to his office (for appointments etc.) via phone at (210) 292-6225.

Dr Matthew Micah Malan is licensed to practice in Idaho (license number M-8852) 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 1861489106.

Contact Information

	Dr Matthew Micah Malan, MD
	1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236-9908
	(210) 292-6225
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Matthew Micah Malan
Gender	Male
Speciality	Dermatology
Location	1100 Wilford Hall Loop, Bldg 4554, Jbsa Lackland, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861489106
Provider Enumeration Date: 10/03/2005
Last Update Date: 07/23/2020

Medicare PECOS Information:

PECOS PAC ID: 4880911460
Enrollment ID: I20230906000084

Medical Identifiers

Medical identifiers for Dr Matthew Micah Malan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861489106	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	A116923 (California)	Secondary
2083A0100X	Preventive Medicine - Aerospace Medicine	8852 (Idaho)	Secondary
207N00000X	Dermatology	M-8852 (Idaho)	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 Matthew Micah Malan allows following entities to bill medicare on his behalf.

Entity Name	Sonterra Dermatology Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285925966 PECOS PAC ID: 5193972859 Enrollment ID: O20120831000104

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 Matthew Micah Malan 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 Matthew Micah Malan, MD 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236-9908 Ph: (210) 292-8200	Dr Matthew Micah Malan, MD 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236-9908 Ph: (210) 292-6225

Reviews and Comments

Dermatology Doctors in Jbsa Lackland, TX

Heidi Dearborn, DO Dermatology Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-292-5350
Dr. Christopher M Edens, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-6225
Dr. Emily Beth Wong, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-292-8808
Dr. Wendi Wohltmann, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-5350
Shannon Patrick Buck, D.O. Dermatology Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-8200 Fax: 210-292-3781
Jared Eldon Roberts, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-292-8808 Fax: 210-292-3781

Dr Matthew Micah Malan, MD - Medicare Dermatology in Jbsa Lackland, TX