Kimberly N Mallin, MD in Charleston, SC - Medicare Family Practice

Kimberly N Mallin, MD is a medicare enrolled "Family Medicine" physician in Charleston, South Carolina. She went to Brody School Of Medicine At East Carolina University and graduated in 1988 and has 37 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice University Medical Associates Of The Medical University Of South Carol and her current practice location is 171 Ashley Ave, Charleston, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 792-1414.

Kimberly N Mallin is licensed to practice in South Carolina (license number 21724) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1750349502.

Contact Information

	Kimberly N Mallin, MD
	171 Ashley Ave, Charleston, SC 29425-0100
	(843) 792-1414
	Not Available

Map and Direction

Physician's Profile

Full Name	Kimberly N Mallin
Gender	Female
Speciality	Family Practice
Experience	37 Years
Location	171 Ashley Ave, Charleston, South Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kimberly N Mallin attended and graduated from Brody School Of Medicine At East Carolina University in 1988

NPI Data:

NPI Number: 1750349502
Provider Enumeration Date: 05/02/2006
Last Update Date: 07/26/2024

Medicare PECOS Information:

PECOS PAC ID: 5294818878
Enrollment ID: I20080206000407

Medical Identifiers

Medical identifiers for Kimberly N Mallin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750349502	NPI	-	NPPES
217243	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	292697 (New York)	Secondary
207QH0002X	Family Medicine - Hospice And Palliative Medicine	21724 (South Carolina)	Secondary
207QH0002X	Family Medicine - Hospice And Palliative Medicine	292697 (New York)	Secondary
207Q00000X	Family Medicine	21724 (South Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Amedisys Home Health Of Charleston East	Charleston, SC	Home health agency

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Medical Associates Of The Medical University Of South Carol	6305758574	1472

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. Kimberly N Mallin allows following entities to bill medicare on her behalf.

Entity Name	University Medical Associates Of The Medical University Of South Carol
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043241110 PECOS PAC ID: 6305758574 Enrollment ID: O20031105000291

Entity Name	Proactive Md Sc Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538713813 PECOS PAC ID: 0143742593 Enrollment ID: O20250314002891

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. Kimberly N Mallin 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
Kimberly N Mallin, MD 171 Ashley Ave, Charleston, SC 29425-8908 Ph: (843) 792-1414	Kimberly N Mallin, MD 171 Ashley Ave, Charleston, SC 29425-0100 Ph: (843) 792-1414

Reviews and Comments

Family Medicine Doctors in Charleston, SC

Huyen Bui, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 650 Ellis Oak Dr, Charleston, SC 29412 Phone: 843-792-3451
Dr. Charles T Tweel, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 51 Nassau St, Charleston, SC 29403 Phone: 803-722-4112
Alexander Chessman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414
Dr. Justin William Dean, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2125 Charlie Hall Bvld, Ste 2, Charleston, SC 29414 Phone: 843-876-3151
Dr. Julie Fritz Casasco, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 743 Folly Rd, Charleston, SC 29412 Phone: 843-762-2360 Fax: 843-762-2340
Lizina Blessing Green, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 109 Bee St, Charleston, SC 29401 Phone: 843-577-5011
Dr. Donald P Hurley, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2270 Ashley Crossing Dr Ste 150, Charleston, SC 29414 Phone: 843-766-1936 Fax: 843-766-1206

Kimberly N Mallin, MD - Medicare Family Practice in Charleston, SC