Mr Avi Meir Samuel Mallin, PA-C in Mesa, AZ - Medicare Physician Assistant

Mr Avi Meir Samuel Mallin, PA-C is a medicare enrolled "Physician Assistant" in Mesa, Arizona. His current practice location is 6644 East Baywood Avenue, Banner Baywood Medical Center, Mesa, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 321-4740.

Mr Avi Meir Samuel Mallin is licensed to practice in Arizona (license number 4512) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1023342813.

Contact Information

	Mr Avi Meir Samuel Mallin, PA-C
	6644 East Baywood Avenue, Banner Baywood Medical Center, Mesa, AZ 85206
	(480) 321-4740
	(480) 321-4565

Map and Direction

Provider's Profile

Full Name	Mr Avi Meir Samuel Mallin
Gender	Male
Speciality	Physician Assistant
Location	6644 East Baywood Avenue, Mesa, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023342813
Provider Enumeration Date: 09/25/2009
Last Update Date: 01/13/2015

Medicare PECOS Information:

PECOS PAC ID: 9335288729
Enrollment ID: I20091124000344

Medical Identifiers

Medical identifiers for Mr Avi Meir Samuel Mallin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023342813	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	4512 (Arizona)	Primary

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. Mr Avi Meir Samuel Mallin 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
Mr Avi Meir Samuel Mallin, PA-C 4838 E Flower St, Phoenix, AZ 85018-6538 Ph: (702) 845-1200	Mr Avi Meir Samuel Mallin, PA-C 6644 East Baywood Avenue, Banner Baywood Medical Center, Mesa, AZ 85206 Ph: (480) 321-4740

Reviews and Comments

Physician Assistant Nurses in Mesa, AZ

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Mr Avi Meir Samuel Mallin, PA-C - Medicare Physician Assistant in Mesa, AZ