Dr Charles J Mallo, DO - Medicare Psychiatry in Portland, ME

Dr Charles J Mallo, DO is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Portland, Maine. He graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Mainehealth, Maine Medical Partners and his current practice location is 216 Vaughan St, Portland, Maine. You can reach out to his office (for appointments etc.) via phone at (207) 662-2221.

Dr Charles J Mallo is licensed to practice in Maine (license number DO2378) 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 1063611788.

Contact Information

Dr Charles J Mallo, DO
216 Vaughan St,
Portland, ME 04102-3204
(207) 662-2221
(207) 810-2367



Physician's Profile

Full NameDr Charles J Mallo
GenderMale
SpecialityPsychiatry
Experience17 Years
Location216 Vaughan St, Portland, Maine
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:
  • Dr Charles J Mallo graduated from medical school in 2007
  NPI Data:
  • NPI Number: 1063611788
  • Provider Enumeration Date: 07/12/2007
  • Last Update Date: 08/16/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3173777547
  • Enrollment ID: I20131002000083

Medical Identifiers

Medical identifiers for Dr Charles J Mallo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063611788NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry DO2378 (Maine)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Maine Medical CenterPortland, MEHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mainehealth75178605882067
Maine Medical Partners9335043967789

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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 Charles J Mallo allows following entities to bill medicare on his behalf.
Entity NameMaine Medical Partners
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467477349
PECOS PAC ID: 9335043967
Enrollment ID: O20031125000026

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Entity NameMainehealth
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790265502
PECOS PAC ID: 7517860588
Enrollment ID: O20040701000166

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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 Charles J Mallo 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
Dr Charles J Mallo, DO
78 Atlantic Pl,
South Portland, ME 04106-2316

Ph: (207) 661-6654
Dr Charles J Mallo, DO
216 Vaughan St,
Portland, ME 04102-3204

Ph: (207) 662-2221

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Psychiatry & Neurology Doctors in Portland, ME

Dr. Robert Charles King, MD
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 2 Portland Sq Ste 201, Portland, ME 04101
Phone: 207-607-4022    Fax: 207-613-5048
Dr. Barbara Jane Wood, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 121 Middle St, Suite 404, Portland, ME 04101
Phone: 207-772-8634    Fax: 207-772-1629
Amy Wood, PSY D
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 57 Exchange St, Suite 403, Portland, ME 04101
Phone: 207-772-7542    Fax: 207-775-4454
Dr. Jeremy Ashley Spiegel, MD
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 63 Preble St, Portland, ME 04101
Phone: 207-822-0232    
Robert Toscano, D.O.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 165 Lancaster St, Portland, ME 04101
Phone: 207-874-1030    Fax: 207-874-1044
Dr. Robert A Haines, M.D.
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 477 Congress St Ste 201, Portland, ME 04101
Phone: 207-773-7811    Fax: 207-773-0663

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