| Mrs Pamela Basas Malda, NP | |
|
431 W Liberty St, Wauconda, IL 60084 | |
| (847) 526-2151 | |
| (847) 526-2017 |
| Full Name | Mrs Pamela Basas Malda |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 431 W Liberty St, Wauconda, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891238200 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 209015216 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vitae Health Medical Illinois, Pllc | 2365798410 | 175 |
| Entity Name | Northwest Suburban Medical Group S.c |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952569394 PECOS PAC ID: 2163597147 Enrollment ID: O20080827000042 |
| Entity Name | Vitae Health Medical Illinois, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174013452 PECOS PAC ID: 2365798410 Enrollment ID: O20180703002838 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Pamela Basas Malda, NP Po Box 6037, Wauconda, IL 60084-6037 Ph: (847) 526-2151 | Mrs Pamela Basas Malda, NP 431 W Liberty St, Wauconda, IL 60084 Ph: (847) 526-2151 |
Kristine M Redmond, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 431 W Liberty St, Wauconda, IL 60084 Phone: 847-526-2151 Fax: 847-526-2017 | |
Ileana A Schropp, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 431 W Liberty St, Wauconda, IL 60084 Phone: 847-526-2151 Fax: 847-526-2017 | |
Mrs. Karen Anne Fermin Violago, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 431 W Liberty St, Wauconda, IL 60084 Phone: 847-526-2151 Fax: 847-526-2017 | |
Tabitha Gardner, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 431 W Liberty St, Wauconda, IL 60084 Phone: 847-526-2151 Fax: 847-526-2017 | |
Corrie Mcmahon, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 431 W Liberty St, Wauconda, IL 60084 Phone: 847-526-2151 Fax: 847-526-2017 | |
Michelle Delich, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 431 W Liberty St, Wauconda, IL 60084 Phone: 847-526-2151 Fax: 847-526-2017 | |
Rebecca Lambo, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 431 W Liberty St, Wauconda, IL 60084 Phone: 847-526-2151 Fax: 847-526-2017 |