Dr Jill Mallin, PHD, LP - Medicare Psychologist in Fort Atkinson, WI

Dr Jill Mallin, PHD, LP is a medicare enrolled "Psychologist" provider in Fort Atkinson, Wisconsin. She graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is 201 N Main St Ste 411, Fort Atkinson, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 397-4015.

Dr Jill Mallin is licensed to practice in Wisconsin (license number 2850-57) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1184248593.

Contact Information

Dr Jill Mallin, PHD, LP
201 N Main St Ste 411,
Fort Atkinson, WI 53538-1805
(920) 397-4015
(608) 237-2146

Map and Direction




Healthcare Provider's Profile

Full NameDr Jill Mallin
GenderFemale
SpecialityClinical Psychologist
Experience17 Years
Location201 N Main St Ste 411, Fort Atkinson, Wisconsin
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jill Mallin graduated from medical school in 2007
  NPI Data:
  • NPI Number: 1184248593
  • Provider Enumeration Date: 06/01/2020
  • Last Update Date: 01/12/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0840603247
  • Enrollment ID: I20210104000537

Medical Identifiers

Medical identifiers for Dr Jill Mallin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184248593NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist 2850-57 (Wisconsin)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. Dr Jill Mallin allows following entities to bill medicare on her behalf.
Entity NameHidden Path Counseling Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528683679
PECOS PAC ID: 8022421429
Enrollment ID: O20210104000493

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. Dr Jill 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 AddressPractice Location Address
Dr Jill Mallin, PHD, LP
201 N Main St Ste 411,
Fort Atkinson, WI 53538-1805

Ph: (920) 397-4015
Dr Jill Mallin, PHD, LP
201 N Main St Ste 411,
Fort Atkinson, WI 53538-1805

Ph: (920) 397-4015

Reviews and Comments


Psychologist in Fort Atkinson, WI

Dr. Sheila Kay Kozler Sr., PSYD
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Phone: 920-563-7995    Fax: 920-568-6047
Nicholas J Bisenius, PHD
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Samuel C Smith, PHD
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Practice Location: 509 Mcmillen St, Fort Atkinson, WI 53538
Phone: 920-563-7995    Fax: 920-568-6047
Stephen F Seaman, PHD
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Medicare: Not Enrolled in Medicare
Practice Location: 1520 Madison Ave, Fort Atkinson, WI 53538
Phone: 920-563-4224    Fax: 920-563-4472

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.