Dr Thomas A Mallisee Iii, MD - Medicare Diagnostic Radiology in Des Moines, IA

Dr Thomas A Mallisee Iii, MD is a medicare enrolled "Radiology - Body Imaging" physician in Des Moines, Iowa. He went to University Of Nebraska College Of Medicine and graduated in 1993 and has 31 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Diagnostic Imaging Associates, P.c. and his current practice location is 1111 6th Ave, Des Moines, Iowa. You can reach out to his office (for appointments etc.) via phone at (515) 643-2667.

Dr Thomas A Mallisee Iii is licensed to practice in Iowa (license number 32854) 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 1639167042.

Contact Information

Dr Thomas A Mallisee Iii, MD
1111 6th Ave,
Des Moines, IA 50314-2613
(515) 643-2667
(515) 643-2978



Physician's Profile

Full NameDr Thomas A Mallisee Iii
GenderMale
SpecialityDiagnostic Radiology
Experience31 Years
Location1111 6th Ave, Des Moines, Iowa
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 Thomas A Mallisee Iii attended and graduated from University Of Nebraska College Of Medicine in 1993
  NPI Data:
  • NPI Number: 1639167042
  • Provider Enumeration Date: 10/10/2005
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 8628090933
  • Enrollment ID: I20051230000248

Medical Identifiers

Medical identifiers for Dr Thomas A Mallisee Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639167042NPI-NPPES
0192344MedicaidIA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085B0100XRadiology - Body Imaging 32854 (Iowa)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mercyone Des Moines Medical CenterDes moines, IAHospital
Mercyone Centerville Medical CenterCenterville, IAHospital
Mercyone Newton Medical CenterNewton, IAHospital
Knoxville Hospital & ClinicsKnoxville, IAHospital
Ringgold County HospitalMount ayr, IAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Diagnostic Imaging Associates, P.c.711382078820

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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 Thomas A Mallisee Iii allows following entities to bill medicare on his behalf.
Entity NameCatholic Health Initiatives-iowa Corp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508964883
PECOS PAC ID: 5698683142
Enrollment ID: O20031118000163

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Entity NameDiagnostic Imaging Associates, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528030194
PECOS PAC ID: 7113820788
Enrollment ID: O20040130000299

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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 Thomas A Mallisee Iii 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 Thomas A Mallisee Iii, MD
1111 6th Ave,
Des Moines, IA 50314-2613

Ph: (515) 643-2667
Dr Thomas A Mallisee Iii, MD
1111 6th Ave,
Des Moines, IA 50314-2613

Ph: (515) 643-2667

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Radiology Doctors in Des Moines, IA

Dr. Mitchell R. Erickson, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1111 6th Ave, Des Moines, IA 50314
Phone: 515-643-2667    Fax: 515-643-2978
Austin Peters,
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1200 Pleasant St, Des Moines, IA 50309
Phone: 155-460-7766    
Dr. Christopher J Ellerbroek, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 1221 Pleasant St, Ste 150, Des Moines, IA 50309
Phone: 515-244-5109    Fax: 515-241-3505
Dr. Charles E. Zacharias, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 1111 6th Ave, Des Moines, IA 50314
Phone: 515-643-2667    Fax: 515-643-2978
Dr. Mark Christopher Johnson, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1111 6th Ave, Des Moines, IA 50314
Phone: 515-643-2667    
Christian Kingeter, MD
Radiology
Medicare: Medicare Enrolled
Practice Location: 1801 Hickman Rd, Des Moines, IA 50314
Phone: 515-282-8551    
Dr. Jon Stacy Hade, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 1221 Pleasant St, Ste 150, Des Moines, IA 50309
Phone: 515-244-5109    Fax: 515-875-9672

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