Theresa Malcom, FNP - Medicare Nurse Practitioner in Elkhart, IN

Theresa Malcom, FNP is a medicare enrolled "Nurse Practitioner - Family" physician in Elkhart, Indiana. Her current practice location is 500 Arcade Ave Ste 210, Elkhart, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 389-5656.

Theresa Malcom is licensed to practice in Indiana (license number 71012835A) 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 1871224576.

Contact Information

Theresa Malcom, FNP
500 Arcade Ave Ste 210,
Elkhart, IN 46514
(574) 389-5656
(574) 523-7891

Map and Direction




Physician's Profile

Full NameTheresa Malcom
GenderFemale
SpecialityNurse Practitioner - Family
Location500 Arcade Ave Ste 210, Elkhart, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1871224576
  • Provider Enumeration Date: 06/22/2022
  • Last Update Date: 01/11/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6406222991
  • Enrollment ID: I20221025002513

Medical Identifiers

Medical identifiers for Theresa Malcom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871224576NPI-NPPES
300068982MedicaidIN
236040463OtherMEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine F05220661 (Indiana)Secondary
363LF0000XNurse Practitioner - Family 71012835A (Indiana)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. Theresa Malcom allows following entities to bill medicare on her behalf.
Entity NameBeacon Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033161617
PECOS PAC ID: 1254243306
Enrollment ID: O20031105000657

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. Theresa Malcom 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 AddressPractice Location Address
Theresa Malcom, FNP
3245 Health Dr Ste 100,
Granger, IN 46530-1380

Ph: (574) 647-2129
Theresa Malcom, FNP
500 Arcade Ave Ste 210,
Elkhart, IN 46514

Ph: (574) 389-5656

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.