| Jayati Mallick, MD | |
|
301 University Blvd, Galveston, TX 77555-0001 | |
| (409) 772-2222 | |
| Not Available |
| Full Name | Jayati Mallick |
|---|---|
| Gender | Female |
| Speciality | Pathology |
| Experience | 24 Years |
| Location | 301 University Blvd, Galveston, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215355474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | S5008 (Texas) | Secondary |
| 207ZH0000X | Pathology - Hematology | S5008 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Thomas Jefferson University Hospital | Philadelphia, PA | Hospital |
| Abington Memorial Hospital | Abington, PA | Hospital |
| Jefferson Heath | Philadelphia, PA | Hospital |
| Jefferson Stratford Hospital | Stratford, NJ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jefferson University Physicians | 7911819180 | 1393 |
| Entity Name | Jefferson University Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326093675 PECOS PAC ID: 7911819180 Enrollment ID: O20040225000232 |
| Mailing Address | Practice Location Address |
|---|---|
| Jayati Mallick, MD Po Box 650859 Dept 710, Dallas, TX 75265-6234 Ph: (409) 772-0620 | Jayati Mallick, MD 301 University Blvd, Galveston, TX 77555-0001 Ph: (409) 772-2222 |
Stephen M Pustilnik, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-747-0890 Fax: 409-772-0885 | |
Mariangela Gomez Ferrer, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-1011 Fax: 409-772-5683 | |
Mukhayyo Ismailova, Pathology Medicare: Medicare Enrolled Practice Location: 711 Holiday Dr Apt 21, Galveston, TX 77550 Phone: 346-289-0878 | |
Jamie Clare Kendrick, MD Pathology Medicare: May Accept Medicare Assignments Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-8475 | |
Mohamed Adel Mahmoud Ahmed Youssef, MD Pathology Medicare: Medicare Enrolled Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-2870 | |
Dmitrii Vozniuk, Pathology Medicare: Medicare Enrolled Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-2856 | |
Eduardo Javier Eyzaguirre, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-2222 |