Demetrios Nectarios Mallios, MD - Medicare Thoracic Surgery (Cardiothoracic Vascular Surgery) in Los Angeles, CA

Demetrios Nectarios Mallios, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Los Angeles, California. His current practice location is 1520 San Pablo St, Health Consultation Ceneter Ii, Suite 4300, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (323) 442-5849.

Demetrios Nectarios Mallios is licensed to practice in California (license number 146158) 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 1144763095.

Contact Information

Demetrios Nectarios Mallios, MD
1520 San Pablo St, Health Consultation Ceneter Ii, Suite 4300,
Los Angeles, CA 90033-5310
(323) 442-5849
Not Available



Physician's Profile

Full NameDemetrios Nectarios Mallios
GenderMale
SpecialityThoracic Surgery (cardiothoracic Vascular Surgery)
Location1520 San Pablo St, Los Angeles, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1144763095
  • Provider Enumeration Date: 11/27/2016
  • Last Update Date: 11/27/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 4486908456
  • Enrollment ID: I20230807002538

Medical Identifiers

Medical identifiers for Demetrios Nectarios Mallios such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144763095NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) 146158 (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. Demetrios Nectarios Mallios allows following entities to bill medicare on his behalf.
Entity NameUsc Care Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902846306
PECOS PAC ID: 0446157747
Enrollment ID: O20050512000412

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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. Demetrios Nectarios Mallios 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
Demetrios Nectarios Mallios, MD
1520 San Pablo St, Health Consultation Ceneter Ii, Suite 4300,
Los Angeles, CA 90033-5310

Ph: () -
Demetrios Nectarios Mallios, MD
1520 San Pablo St, Health Consultation Ceneter Ii, Suite 4300,
Los Angeles, CA 90033-5310

Ph: (323) 442-5849

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Thoracic Surgery (Cardiothoracic Vascular Surgery) Doctors in Los Angeles, CA

Dr. Jack Sun, MD, MSC
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 1520 San Pablo St, Los Angeles, CA 90033
Phone: 323-442-5907    
Dr. Sanjeet Girish Patel, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 1520 San Pablo St Ste 4300, Los Angeles, CA 90033
Phone: 323-442-5849    
Dr. Wen Cheng, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 8700 Beverly Blvd, Los Angeles, CA 90048
Phone: 310-423-3851    Fax: 310-423-0127
Thomas A. Pfeffer, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Medicare Enrolled
Practice Location: 4733 W Sunset Blvd, Los Angeles, CA 90027
Phone: 323-783-4011    
Dr. Jonathan Aaron Praeger, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 1520 San Pablo St Ste 4300, Los Angeles, CA 90033
Phone: 323-442-5849    
Dr. Luke Mckee Wiggins, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 4650 W Sunset Blvd # Ms 66, Los Angeles, CA 90027
Phone: 323-361-5595    
Kwok Yun, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 4733 W Sunset Blvd, Los Angeles, CA 90027
Phone: 323-783-4011    

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