Dr Theodora Malinowski, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Chesterbrook, Pennsylvania. She graduated from medical school in 2023 and has 3 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Intentional Counseling And Wellness, Llc and her current practice location is
281 Valley Stream Ln, Chesterbrook, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(719) 396-4167.
Dr Theodora Malinowski is licensed to practice in Pennsylvania (license number PS020453) 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 1114712122.
Healthcare Provider's Profile
| Full Name | Dr Theodora Malinowski |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 3 Years |
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| Location | 281 Valley Stream Ln, Chesterbrook, Pennsylvania |
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| 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:
- Dr Theodora Malinowski graduated from medical school in 2023
NPI Data:
- NPI Number: 1114712122
- Provider Enumeration Date: 04/10/2025
- Last Update Date: 04/29/2025
Medicare PECOS Information:
- PECOS PAC ID: 4789102484
- Enrollment ID: I20250516001218
Medical Identifiers
Medical identifiers for Dr Theodora Malinowski such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1114712122 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 103TC0700X | Psychologist - Clinical | PS020453 (Pennsylvania) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Intentional Counseling And Wellness, Llc | 1759811920 | 3 |
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 Theodora Malinowski allows following entities to bill medicare on her behalf.
| Entity Name | Intentional Counseling & Wellness, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932928702 PECOS PAC ID: 1759811920 Enrollment ID: O20250204001908 |
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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 Theodora Malinowski 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 |
Dr Theodora Malinowski, PSYD 281 Valley Stream Ln, Chesterbrook, PA 19087-5852 Ph: (719) 396-4167 | Dr Theodora Malinowski, PSYD 281 Valley Stream Ln, Chesterbrook, PA 19087-5852 Ph: (719) 396-4167 |
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