Dr William Olin Mallow, MD in Albany, GA - Medicare Emergency Medicine

Dr William Olin Mallow, MD is a medicare enrolled "Emergency Medicine" physician in Albany, Georgia. His current practice location is 803 N Jefferson St, Albany, Georgia. You can reach out to his office (for appointments etc.) via phone at (229) 312-7800.

Dr William Olin Mallow is licensed to practice in Georgia (license number 056900) 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 1396793733.

Contact Information

	Dr William Olin Mallow, MD
	803 N Jefferson St, Albany, GA 31701-2373
	(229) 312-7800
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr William Olin Mallow
Gender	Male
Speciality	Emergency Medicine
Location	803 N Jefferson St, Albany, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396793733
Provider Enumeration Date: 05/05/2006
Last Update Date: 08/16/2012

Medicare PECOS Information:

PECOS PAC ID: 8729012737
Enrollment ID: I20080516000420

Medical Identifiers

Medical identifiers for Dr William Olin Mallow such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396793733	NPI	-	NPPES
003122498F	Medicaid	GA
160195	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	16019 (South Carolina)	Secondary
207Q00000X	Family Medicine	16019 (South Carolina)	Secondary
207P00000X	Emergency Medicine	056900 (Georgia)	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 William Olin Mallow allows following entities to bill medicare on his behalf.

Entity Name	Phoebe Physician Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487899464 PECOS PAC ID: 8426112350 Enrollment ID: O20090121000583

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 William Olin Mallow 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 William Olin Mallow, MD 2700 Mccall Ct, Albany, GA 31721-9193 Ph: (864) 344-0265	Dr William Olin Mallow, MD 803 N Jefferson St, Albany, GA 31701-2373 Ph: (229) 312-7800

Reviews and Comments

Emergency Medicine Doctors in Albany, GA

Ayodeji Akadiri, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 417 W 3rd Ave, Albany, GA 31701 Phone: 229-312-1000
Dr. Andrew George Misulia, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 417 W 3rd Ave, Albany, GA 31701 Phone: 229-317-2207 Fax: 229-317-2214
Gregory Walter, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2000 Palmyra Rd, Albany, GA 31701 Phone: 229-434-2000
Dr. Elmera V Dejarme, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 417 W 3rd Ave, Albany, GA 31701 Phone: 229-317-2207 Fax: 229-317-2214
Dr. Gopala Krishna Derebail, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 417 W 3rd Ave, Albany, GA 31701 Phone: 229-317-2207 Fax: 229-317-2214
Dr. Alfred Lee Woodard, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 417 W 3rd Ave, Albany, GA 31701 Phone: 229-317-2207 Fax: 229-317-2214
Larry Alan Medley, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 417 W 3rd Ave, Albany, GA 31701 Phone: 229-312-1000

Dr William Olin Mallow, MD - Medicare Emergency Medicine in Albany, GA