Mrs Jennifer Shackelford Malkovich, AUD - Medicare Audiologist in Oakland, CA

Mrs Jennifer Shackelford Malkovich, AUD is a medicare enrolled "Audiologist" provider in Oakland, California. Her current practice location is 400 30th St, Suite 101, Oakland, California. You can reach out to her office (for appointments etc.) via phone at (510) 832-4056.

Mrs Jennifer Shackelford Malkovich is licensed to practice in California (license number AU2449) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1801018130.

Contact Information

Mrs Jennifer Shackelford Malkovich, AUD
400 30th St, Suite 101,
Oakland, CA 94609-3306
(510) 832-4056
(510) 832-8507



Healthcare Provider's Profile

Full NameMrs Jennifer Shackelford Malkovich
GenderFemale
SpecialityAudiologist
Location400 30th St, Oakland, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1801018130
  • Provider Enumeration Date: 05/03/2007
  • Last Update Date: 01/11/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3476835240
  • Enrollment ID: I20170131002530

Medical Identifiers

Medical identifiers for Mrs Jennifer Shackelford Malkovich such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801018130NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
231H00000XAudiologist AU2449 (California)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. Mrs Jennifer Shackelford Malkovich allows following entities to bill medicare on her behalf.
Provider NamePermanente Medical Group Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710

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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. Mrs Jennifer Shackelford Malkovich 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
Mrs Jennifer Shackelford Malkovich, AUD
400 30th St, Suite 101,
Oakland, CA 94609-3306

Ph: (510) 832-4056
Mrs Jennifer Shackelford Malkovich, AUD
400 30th St, Suite 101,
Oakland, CA 94609-3306

Ph: (510) 832-4056

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Audiologist in Oakland, CA

Courtney Cook, AU.D.
Audiologist
Medicare: Not Enrolled in Medicare
Practice Location: 3346 Lakeshore Ave, Oakland, CA 94610
Phone: 510-444-9771    
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Audiologist
Medicare: Not Enrolled in Medicare
Practice Location: 2201 Broadway Ste 812, Oakland, CA 94612
Phone: 510-625-8039    Fax: 510-625-8067
Dr. Michelle Louie, AUD
Audiologist
Medicare: Not Enrolled in Medicare
Practice Location: 747 52nd St, Oakland, CA 94609
Phone: 510-428-3344    
Brenda E Cole, AU.D. CCC-A
Audiologist
Medicare: Not Enrolled in Medicare
Practice Location: 2923 Webster St Ste 201, Oakland, CA 94609
Phone: 510-752-8330    
Jamie Williams, AUD
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Practice Location: 747 52nd St, Oakland, CA 94609
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Practice Location: 3751 Broadway Ste B, Oakland, CA 94611
Phone: 510-752-8330    
Dr. Larrain A Hedlund Bratt, AUD
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Medicare: Not Enrolled in Medicare
Practice Location: 280 W Macarthur Blvd, Head And Neck Surgery Department, Oakland, CA 94611
Phone: 510-752-6421    Fax: 510-752-7032

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