Alisha Fay Maly, PA - Medicare Physician Assistant in Kenosha, WI

Alisha Fay Maly, PA is a medicare enrolled "Physician Assistant" physician in Kenosha, Wisconsin. He graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Madison Emergency Physicians Sc, Stoughton Hospital Association and his current practice location is 10400 75th St, Aurora Medical Center, Kenosha, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 697-7000.

Alisha Fay Maly is licensed to practice in Wisconsin (license number 1690-023) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1275517443.

Contact Information

Alisha Fay Maly, PA
10400 75th St, Aurora Medical Center,
Kenosha, WI 53142
(262) 697-7000
(630) 734-1560



Physician's Profile

Full NameAlisha Fay Maly
GenderMale
SpecialityPhysician Assistant
Experience21 Years
Location10400 75th St, Kenosha, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Alisha Fay Maly graduated from medical school in 2003
  NPI Data:
  • NPI Number: 1275517443
  • Provider Enumeration Date: 12/01/2005
  • Last Update Date: 07/31/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 4284619057
  • Enrollment ID: I20040624000290

Medical Identifiers

Medical identifiers for Alisha Fay Maly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275517443NPI-NPPES
41987700MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 1690023 (Wisconsin)Secondary
363A00000XPhysician Assistant 1690-023 (Wisconsin)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Madison Emergency Physicians Sc458763185845
Stoughton Hospital Association701282570643

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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. Alisha Fay Maly 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
Alisha Fay Maly, PA
Po Box 3043, Mea Aea Kenosh Sc,
Oak Brook, IL 60522-3043

Ph: (630) 734-0200
Alisha Fay Maly, PA
10400 75th St, Aurora Medical Center,
Kenosha, WI 53142

Ph: (262) 697-7000

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