Dr Julian Rae Malys-gordon, PSYD is a medicare enrolled "Counselor - Mental Health" provider in Bryn Mawr, Pennsylvania. His current practice location is
933 E Haverford Rd, Bryn Mawr, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(484) 337-5329.
Dr Julian Rae Malys-gordon is licensed to practice in * (Not Available) (license number ) 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 1558850008.
Healthcare Provider's Profile
| Full Name | Dr Julian Rae Malys-gordon |
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| Gender | Male |
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| Speciality | Counselor - Mental Health |
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| Location | 933 E Haverford Rd, Bryn Mawr, Pennsylvania |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1558850008
- Provider Enumeration Date: 05/09/2018
- Last Update Date: 01/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 1850775313
- Enrollment ID: I20220901000059
Medical Identifiers
Medical identifiers for Dr Julian Rae Malys-gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1558850008 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | PS019638 (Pennsylvania) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | 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 Julian Rae Malys-gordon allows following entities to bill medicare on his behalf.
| Entity Name | Main Line Healthcare |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922077643
PECOS PAC ID: 1951215201
Enrollment ID: O20040308000373 |
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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 Julian Rae Malys-gordon 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 |
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Dr Julian Rae Malys-gordon, PSYD
1 Franklin Town Blvd Apt 1703,
Philadelphia, PA 19103-1248
Ph: (570) 574-0826 | Dr Julian Rae Malys-gordon, PSYD
933 E Haverford Rd,
Bryn Mawr, PA 19010-3819
Ph: (484) 337-5329 |
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