Mr Kingsley L Malcolm, CRNA - Medicare Nurse Anesthetist, Certified Registered in Carthage, NY

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Mr Kingsley L Malcolm, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Carthage, New York. His current practice location is 1001 West St, Carthage, New York. You can reach out to his office (for appointments etc.) via phone at (315) 493-1000.

Mr Kingsley L Malcolm is licensed to practice in New York (license number 511702-1) 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 1144550799.

Contact Information

Mr Kingsley L Malcolm, CRNA
1001 West St,
Carthage, NY 13619-9703
(315) 493-1000
Not Available

Map and Direction




Provider's Profile

Full NameMr Kingsley L Malcolm
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location1001 West St, Carthage, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1144550799
  • Provider Enumeration Date: 01/04/2010
  • Last Update Date: 01/12/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 1052446556
  • Enrollment ID: I20100323000650

Medical Identifiers

Medical identifiers for Mr Kingsley L Malcolm such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144550799NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 511702-1 (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. Mr Kingsley L Malcolm allows following entities to bill medicare on his behalf.
Entity NameClaxton-hepburn Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891753034
PECOS PAC ID: 8426966508
Enrollment ID: O20031110000552
Entity NameCarthage Area Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053497388
PECOS PAC ID: 9931010485
Enrollment ID: O20040209000856
Entity NameCarthage Area Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053497388
PECOS PAC ID: 9931010485
Enrollment ID: O20040511000919
Entity NamePremier Anesthesia Of New York, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063658961
PECOS PAC ID: 7719041102
Enrollment ID: O20090129000560
Entity NameCarthage Area Hospital Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1104234376
PECOS PAC ID: 9931010485
Enrollment ID: O20140523000720

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 Kingsley L 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 AddressPractice Location Address
Mr Kingsley L Malcolm, CRNA
2824 Rader Ridge Ct,
Antioch, TN 37013-5748

Ph: (615) 424-3918		Mr Kingsley L Malcolm, CRNA
1001 West St,
Carthage, NY 13619-9703

Ph: (315) 493-1000

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Carthage, NY

Mr. Christopher Michael Mccartney, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1001 West St, Carthage, NY 13619
Phone: 315-952-5650    
Alison Prunty, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1001 West St, Carthage, NY 13619
Phone: 315-493-1000    Fax: 315-493-0105
Amber Modafferi, CRNA, RN
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 1001 West St, Carthage, NY 13619
Phone: 315-493-1000    
Jillian Evonne Mccartney, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1001 West St, Carthage, NY 13619
Phone: 315-493-1000    

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.