Faryal J Mallick, MD in Tampa, FL - Medicare Psychiatry & Neurology

Faryal J Mallick, MD is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in Tampa, Florida. Her current practice location is 14003 N Dale Mabry Hwy Ste C, Tampa, Florida. You can reach out to her office (for appointments etc.) via phone at (813) 461-7797.

Faryal J Mallick is licensed to practice in Florida (license number ME140149) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1962865097.

Contact Information

	Faryal J Mallick, MD
	14003 N Dale Mabry Hwy Ste C, Tampa, FL 33618-2459
	(813) 461-7797
	Not Available

Map and Direction

Physician's Profile

Full Name	Faryal J Mallick
Gender	Female
Speciality	Psychiatry & Neurology - Child & Adolescent Psychiatry
Location	14003 N Dale Mabry Hwy Ste C, Tampa, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962865097
Provider Enumeration Date: 04/05/2016
Last Update Date: 02/20/2025

Medicare PECOS Information:

PECOS PAC ID: 4587916408
Enrollment ID: I20220606001299

Medical Identifiers

Medical identifiers for Faryal J Mallick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962865097	NPI	-	NPPES
7100572460	Medicaid	KY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	TP944 (Kentucky)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	51944 (Kentucky)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
2084P0804X	Psychiatry & Neurology - Child & Adolescent Psychiatry	ME140149 (Florida)	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. Faryal J Mallick allows following entities to bill medicare on her behalf.

Entity Name	Hni Medical Services Of Florida, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679048284 PECOS PAC ID: 7517202112 Enrollment ID: O20190102000426

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. Faryal J Mallick 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
Faryal J Mallick, MD 10006 Cross Creek Blvd Ste 124, Tampa, FL 33647-2595 Ph: (813) 461-7707	Faryal J Mallick, MD 14003 N Dale Mabry Hwy Ste C, Tampa, FL 33618-2459 Ph: (813) 461-7797

Reviews and Comments

Psychiatry & Neurology Doctors in Tampa, FL

Derek Robben, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 13000 Bruce B Downs Blvd, 116a, Tampa, FL 33612 Phone: 813-631-2575
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Dr. Ruth Beth Michael, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3515 E Fletcher Ave, Tampa, FL 33613 Phone: 813-821-8038
Muhammad A. Ali, M.D. Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 5707 N 22nd St, Tampa, FL 33610 Phone: 813-272-2244 Fax: 813-272-3766
Alexis N. Cohen-oram, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3515 E Fletcher Ave, Tampa, FL 33613 Phone: 813-974-8900
Ketan Ramakant Jhunjhunwala, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 17 Davis Blvd Ste 308, Tampa, FL 33606 Phone: 813-974-2201
Brittney Rogers, PMHNP Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1211 Tech Blvd, Tampa, FL 33619 Phone: 813-708-7869

Faryal J Mallick, MD - Medicare Psychiatry & Neurology in Tampa, FL