Guillermo Maza Malave, MD is a medicare enrolled "Otolaryngology" physician in North Miami, Florida. He graduated from medical school in 2009 and has 16 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Icahn School Of Medicine At Mount Sinai and his current practice location is
1801 Ne 123rd St Ste 315, North Miami, Florida. You can reach out to his office (for appointments etc.) via phone at
(786) 507-4151.
Guillermo Maza Malave is licensed to practice in Florida (license number ME173308) 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 1467947366.
Physician's Profile
| Full Name | Guillermo Maza Malave |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Experience | 16 Years |
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| Location | 1801 Ne 123rd St Ste 315, North Miami, Florida |
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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. |
Medical Education and Training:
- Guillermo Maza Malave graduated from medical school in 2009
NPI Data:
- NPI Number: 1467947366
- Provider Enumeration Date: 06/25/2018
- Last Update Date: 08/26/2025
Medicare PECOS Information:
- PECOS PAC ID: 8820323066
- Enrollment ID: I20240605001982
Medical Identifiers
Medical identifiers for Guillermo Maza Malave such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1467947366 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Y00000X | Otolaryngology | 125074511 (Illinois) | Secondary |
| 207Y00000X | Otolaryngology | 328812 (New York) | Secondary |
| 207Y00000X | Otolaryngology | ME173308 (Florida) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Icahn School Of Medicine At Mount Sinai | 2264691070 | 2587 |
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. Guillermo Maza Malave allows following entities to bill medicare on his behalf.
| Entity Name | Icahn School Of Medicine At Mount Sinai |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275802811 PECOS PAC ID: 2264691070 Enrollment ID: O20120315000035 |
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| Entity Name | Icahn School Of Medicine At Mount Sinai |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609120674 PECOS PAC ID: 8224282926 Enrollment ID: O20130205000439 |
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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. Guillermo Maza Malave 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 |
Guillermo Maza Malave, MD 15280 Nw 79th Ct Ste 200, Miami Lakes, FL 33016-5873 Ph: (305) 558-3724 | Guillermo Maza Malave, MD 1801 Ne 123rd St Ste 315, North Miami, FL 33181-2883 Ph: (786) 507-4151 |
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