Marty Elijah Malloy-mccoy, APRN, CRNA, CNP - Medicare Nurse Anesthetist, Certified Registered in Newark, OH

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Marty Elijah Malloy-mccoy, APRN, CRNA, CNP is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Newark, Ohio. His current practice location is 1320 W Main St, Newark, Ohio. You can reach out to his office (for appointments etc.) via phone at (220) 564-4226.

Marty Elijah Malloy-mccoy is licensed to practice in Ohio (license number APRN.CRNA.019508) 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 1184152225.

Contact Information

Marty Elijah Malloy-mccoy, APRN, CRNA, CNP
1320 W Main St,
Newark, OH 43055-1822
(220) 564-4226
(220) 564-4226

Map and Direction




Provider's Profile

Full NameMarty Elijah Malloy-mccoy
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location1320 W Main St, Newark, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1184152225
  • Provider Enumeration Date: 06/02/2017
  • Last Update Date: 12/21/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 1052680790
  • Enrollment ID: I20230626003443

Medical Identifiers

Medical identifiers for Marty Elijah Malloy-mccoy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184152225NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family APRN.CNP.0027784 (Ohio)Secondary
367500000XNurse Anesthetist, Certified Registered APRNCRNA019508 (Ohio)Secondary
367500000XNurse Anesthetist, Certified Registered APRN.CRNA.019508 (Ohio)Primary
163W00000XRegistered Nurse RN382689 (Ohio)Secondary
163W00000XRegistered Nurse RN.382689 (Ohio)Secondary
363L00000XNurse Practitioner APRN.CNP.0027784 (Ohio)Secondary

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. Marty Elijah Malloy-mccoy allows following entities to bill medicare on his behalf.
Entity NameArapahoe Gastroenterology Anesthesia Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598115479
PECOS PAC ID: 2466745294
Enrollment ID: O20160801001103
Entity NameAnesthesia Dynamics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073001012
PECOS PAC ID: 3779832530
Enrollment ID: O20201020000054

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. Marty Elijah Malloy-mccoy 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
Marty Elijah Malloy-mccoy, APRN, CRNA, CNP
658 Stewart Ave,
Columbus, OH 43206-2974

Ph: (740) 285-6529		Marty Elijah Malloy-mccoy, APRN, CRNA, CNP
1320 W Main St,
Newark, OH 43055-1822

Ph: (220) 564-4226

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Newark, OH

Kathy Williams, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1320 West Main St, Newark, OH 43055
Phone: 220-564-4226    Fax: 220-564-4217
Deforest Roche Brown, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1320 West Main Street, Newark, OH 43055
Phone: 740-348-4226    Fax: 740-348-4217
Ms. Amanda Sue John, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1320 W Main St, Newark, OH 43055
Phone: 220-564-4226    Fax: 220-564-4217
Connie Greene, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 2000 Tamarack Rd, Newark, OH 43055
Phone: 614-235-2326    Fax: 614-235-5194
S Anne Miller-cohen, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 2000 Tamarack Rd, Newark, OH 43055
Phone: 614-235-2326    Fax: 614-235-5194
Mark E. Plaugher, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1320 W Main St, Newark, OH 43055
Phone: 220-564-4226    Fax: 220-564-4219
Kayla Rae Thomsen, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1320 W Main St, Newark, OH 43055
Phone: 220-564-4000    

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.