Mallesha Malcolm, CNM, WHNP-BC in Columbia, MD - Medicare Advanced Practice Midwife

Mallesha Malcolm, CNM, WHNP-BC is a medicare enrolled "Advanced Practice Midwife" in Columbia, Maryland. Her current practice location is 5755 Cedar Ln, Columbia, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 740-7845.

Mallesha Malcolm is licensed to practice in New York (license number 002274) 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 1245675354.

Contact Information

	Mallesha Malcolm, CNM, WHNP-BC
	5755 Cedar Ln, Columbia, MD 21044-2912
	(410) 740-7845
	(410) 367-2198

Map and Direction

Provider's Profile

Full Name	Mallesha Malcolm
Gender	Female
Speciality	Advanced Practice Midwife
Location	5755 Cedar Ln, Columbia, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245675354
Provider Enumeration Date: 05/02/2013
Last Update Date: 03/07/2024

Medicare PECOS Information:

PECOS PAC ID: 5890020556
Enrollment ID: I20190717002597

Medical Identifiers

Medical identifiers for Mallesha Malcolm such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245675354	NPI	-	NPPES
R244748	Other	MD	MD LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	668050 (New York)	Secondary
363LW0102X	Nurse Practitioner - Women's Health	R244748 (Maryland)	Secondary
363LW0102X	Nurse Practitioner - Women's Health	421305 (New York)	Secondary
367A00000X	Advanced Practice Midwife	CNM07597 (Maryland)	Secondary
367A00000X	Advanced Practice Midwife	002274 (New York)	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. Mallesha Malcolm allows following entities to bill medicare on her behalf.

Entity Name	Prohealth Care Associates Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275596280 PECOS PAC ID: 4486544186 Enrollment ID: O20040317000468

Entity Name	North Shore - Lij Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262

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. Mallesha Malcolm 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
Mallesha Malcolm, CNM, WHNP-BC 5141 Broadway # 1rw097, New York, NY 10034-1159 Ph: (212) 932-4200	Mallesha Malcolm, CNM, WHNP-BC 5755 Cedar Ln, Columbia, MD 21044-2912 Ph: (410) 740-7845

Reviews and Comments

Advanced Practice Midwife Nurses in Columbia, MD

Mrs. Nora G Molloy-daly, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 10710 Charter Drive, Ste 200, Columbia, MD 21044 Phone: 410-884-8000 Fax: 410-740-8587
Tammy Joy Senn, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 10710 Charter Dr Ste 200, Columbia, MD 21044 Phone: 410-997-0580 Fax: 410-997-6019
Jackie L Notes, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 10710 Charter Dr, Medical Pavilion At Howard County-suite 200, Columbia, MD 21044 Phone: 410-884-8000 Fax: 410-740-8587
Terry Lee Prahl, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 6350 Stevens Forest Rd Ste 107, Columbia, MD 21046 Phone: 443-367-4700
Lauren Elaine Mayer, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 10710 Charter Drive, Suite 200, Columbia, MD 21044 Phone: 410-974-0922 Fax: 410-974-0556
Mrs. Melissa Fleming, MSN, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 6350 Stevens Forest Rd Ste 107, Columbia, MD 21046 Phone: 443-367-4700
Katie Anne Depalma, CNM/WHNP Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 8945 Guilford Rd, Columbia, MD 21046 Phone: 410-997-8444

Mallesha Malcolm, CNM, WHNP-BC - Medicare Advanced Practice Midwife in Columbia, MD