Peter J Malouf, DO is a medicare enrolled "Dermatology" physician in Cleburne, Texas. He went to University Of North Texas Hsc, College Of Osteopathic Med and graduated in 1996 and has 28 years of diverse experience with area of expertise as Dermatology. His current practice location is
203 Walls Dr Ste 100, Cleburne, Texas. You can reach out to his office (for appointments etc.) via phone at
(817) 205-3075.
Peter J Malouf is licensed to practice in Texas (license number K0518) 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 1225047012.
Physician's Profile
| Full Name | Peter J Malouf |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 28 Years |
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| Location | 203 Walls Dr Ste 100, Cleburne, Texas |
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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. |
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Medical Education and Training:
- Peter J Malouf attended and graduated from University Of North Texas Hsc, College Of Osteopathic Med in 1996
NPI Data:
- NPI Number: 1225047012
- Provider Enumeration Date: 08/08/2006
- Last Update Date: 06/29/2018
Medicare PECOS Information:
- PECOS PAC ID: 0547220477
- Enrollment ID: I20041015000054
Medical Identifiers
Medical identifiers for Peter J Malouf such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1225047012 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207ND0101X | Dermatology - Mohs-micrographic Surgery | K0518 (Texas) | Secondary |
| 207N00000X | Dermatology | K0518 (Texas) | 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. Peter J Malouf allows following entities to bill medicare on his behalf.
| Entity Name | Concierge Dermatology Management, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134615206
PECOS PAC ID: 8820341993
Enrollment ID: O20181019002091 |
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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. Peter J Malouf 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 |
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Peter J Malouf, DO
5825 Edwards Ranch Rd Ste 201,
Ft Worth, TX 76109-4122
Ph: (817) 205-3075 | Peter J Malouf, DO
203 Walls Dr Ste 100,
Cleburne, TX 76033
Ph: (817) 205-3075 |
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