Mrs Aliya Mallett, is a medicare enrolled "Pediatrics" physician in Raynham, Massachusetts. Her current practice location is
876 Broadway, Raynham, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(508) 824-9500.
Mrs Aliya Mallett is licensed to practice in Massachusetts (license number F01220751) 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 1932857083.
Physician's Profile
| Full Name | Mrs Aliya Mallett |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 876 Broadway, Raynham, Massachusetts |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1932857083
- Provider Enumeration Date: 03/16/2022
- Last Update Date: 10/13/2025
Medicare PECOS Information:
- PECOS PAC ID: 4183002736
- Enrollment ID: I20220609002377
Medical Identifiers
Medical identifiers for Mrs Aliya Mallett such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1932857083 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208000000X | Pediatrics | F01220751 (Massachusetts) | 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. Mrs Aliya Mallett allows following entities to bill medicare on her behalf.
| Entity Name | Tristan Medical Enterprises Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538398326 PECOS PAC ID: 1153503297 Enrollment ID: O20110310000118 |
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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. Mrs Aliya Mallett 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 |
Mrs Aliya Mallett, 876 Broadway, Raynham, MA 02767-1797 Ph: (508) 824-9500 | Mrs Aliya Mallett, 876 Broadway, Raynham, MA 02767-1797 Ph: (508) 824-9500 |
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