| Kerry D Malin, PA-C | |
|
1780 N State Route 89, Chino Valley, AZ 86323-5695 | |
| (928) 460-5214 | |
| Not Available |
| Full Name | Kerry D Malin |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 26 Years |
| Location | 1780 N State Route 89, Chino Valley, Arizona |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548241128 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 5167 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Haven Home Health Care | Scottsdale, AZ | Home health agency |
| Nurses Network By Quality Home Health Care | Prescott valley, AZ | Home health agency |
| Yavapai Regional Medical Center | Prescott, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Malin Medical Pllc | 5496161259 | 2 |
| Entity Name | Malin Medical PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265020127 PECOS PAC ID: 5496161259 Enrollment ID: O20210303001268 |
| Mailing Address | Practice Location Address |
|---|---|
| Kerry D Malin, PA-C 1780 N State Route 89, Chino Valley, AZ 86323-5695 Ph: (928) 460-5214 | Kerry D Malin, PA-C 1780 N State Route 89, Chino Valley, AZ 86323-5695 Ph: (928) 460-5214 |
Phung Le, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1934 N Highway 89, Chino Valley, AZ 86323 Phone: 928-667-1968 |
Nancy Olney, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1934 Az-89, Chino Valley, AZ 86323 Phone: 928-667-1968 |
Marcos Josue Pena, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2940 W Movi Trl, Chino Valley, AZ 86323 Phone: 805-793-9548 |
Mariah Hoyt, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 87 S State Route 89, Chino Valley, AZ 86323 Phone: 928-404-1488 Fax: 866-232-8580 |
Ms. Jenny L Miller, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1780 N State Route 89, Chino Valley, AZ 86323 Phone: 928-460-5214 Fax: 928-441-2915 |
Ellina Rose Bastian, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1558 E Yorkshire Ave, Chino Valley, AZ 86323 Phone: 815-980-9155 |
Shawncey Mcpherson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 87 State Route 89, Chino Valley, AZ 86323 Phone: 928-404-1488 Fax: 866-232-8580 |