Radmila Mallah, CRNP in Philadelphia, PA - Medicare Nurse Practitioner

Radmila Mallah, CRNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Philadelphia, Pennsylvania. She graduated from nursing school in 2009 and has 16 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Temple Physicians Inc and her current practice location is 9892 Bustleton Ave Ste 101, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 676-2741.

Radmila Mallah is licensed to practice in Pennsylvania (license number SP010776) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1245558832.

Contact Information

	Radmila Mallah, CRNP
	9892 Bustleton Ave Ste 101, Philadelphia, PA 19115-2138
	(215) 676-2741
	(215) 676-2796

Map and Direction

Provider's Profile

Full Name	Radmila Mallah
Gender	Female
Speciality	Nurse Practitioner
Experience	16 Years
Location	9892 Bustleton Ave Ste 101, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Radmila Mallah graduated from nursing school in 2009

NPI Data:

NPI Number: 1245558832
Provider Enumeration Date: 05/07/2010
Last Update Date: 12/04/2025

Medicare PECOS Information:

PECOS PAC ID: 1951596303
Enrollment ID: I20101110001159

Medical Identifiers

Medical identifiers for Radmila Mallah such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245558832	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	SP010776 (Pennsylvania)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Holy Redeemer Home Care-pa	Philadelphia, PA	Home health agency
Holy Redeemer Hospital And Medical Center	Meadowbrook, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Temple Physicians Inc	2062317233	141

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. Radmila Mallah allows following entities to bill medicare on her behalf.

Entity Name	Temple Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942444088 PECOS PAC ID: 2062317233 Enrollment ID: O20040310000054

Entity Name	Eugene Dyakovetsky Md Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619195179 PECOS PAC ID: 7214901123 Enrollment ID: O20040825000440

Entity Name	Comprehensive Care Medical Associates P C
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952589236 PECOS PAC ID: 2860559812 Enrollment ID: O20090319000213

Entity Name	Psychogeriatric Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588689483 PECOS PAC ID: 6002719226 Enrollment ID: O20190318001533

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. Radmila Mallah 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
Radmila Mallah, CRNP 3500 N Broad St Rm 1a, Philadelphia, PA 19140-4106 Ph: (215) 707-2433	Radmila Mallah, CRNP 9892 Bustleton Ave Ste 101, Philadelphia, PA 19115-2138 Ph: (215) 676-2741

Reviews and Comments

Nurse Practitioner Nurses in Philadelphia, PA

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Ms. Candyce S Dorsey, CRNP, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1408 S Broad St, Philadelphia, PA 19146 Phone: 215-755-0700
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Radmila Mallah, CRNP - Medicare Nurse Practitioner in Philadelphia, PA