Mark Mitchell Malicki, MD - Medicare Family Practice in Johnstown, PA

Mark Mitchell Malicki, MD is a medicare enrolled "Family Medicine" physician in Johnstown, Pennsylvania. He went to Jefferson Medical College Of Thomas Jefferson University and graduated in 1997 and has 27 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Richard M Kastelic Md And Assoc Pc, Vantage Physical Therapy And Rehabilitation Inc and his current practice location is 322 Warren St, Ste 300, Johnstown, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (814) 288-1418.

Mark Mitchell Malicki is licensed to practice in Pennsylvania (license number MD069004L) 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 1083619209.

Contact Information

Mark Mitchell Malicki, MD
322 Warren St, Ste 300,
Johnstown, PA 15905-3443
(814) 288-1418
(814) 288-1525



Physician's Profile

Full NameMark Mitchell Malicki
GenderMale
SpecialityFamily Practice
Experience27 Years
Location322 Warren St, Johnstown, Pennsylvania
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:
  • Mark Mitchell Malicki attended and graduated from Jefferson Medical College Of Thomas Jefferson University in 1997
  NPI Data:
  • NPI Number: 1083619209
  • Provider Enumeration Date: 06/15/2005
  • Last Update Date: 06/17/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 1658495767
  • Enrollment ID: I20100826000274

Medical Identifiers

Medical identifiers for Mark Mitchell Malicki such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083619209NPI-NPPES
0017621130005MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MD069004L (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Conemaugh Home HealthJohnstown, PAHome health agency
Windber HospiceWindber, PAHospice
Conemaugh Memorial Medical CenterJohnstown, PAHospital
Chan Soon- Shiong Medical Center At WindberWindber, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Richard M Kastelic Md And Assoc Pc80220941507
Vantage Physical Therapy And Rehabilitation Inc3072424886168

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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. Mark Mitchell Malicki allows following entities to bill medicare on his behalf.
Entity NameRichard M Kastelic Md & Assoc Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821042417
PECOS PAC ID: 8022094150
Enrollment ID: O20040628001565

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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. Mark Mitchell Malicki 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
Mark Mitchell Malicki, MD
322 Warren St, Ste 300,
Johnstown, PA 15905-3443

Ph: (814) 288-1418
Mark Mitchell Malicki, MD
322 Warren St, Ste 300,
Johnstown, PA 15905-3443

Ph: (814) 288-1418

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Family Medicine Doctors in Johnstown, PA

Sai Harsha Bobba, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1086 Franklin St, Johnstown, PA 15905
Phone: 814-534-9364    Fax: 814-534-5599
Bonifacio Tan Aguilera, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 307 Terlyn Drive, Johnstown, PA 15904
Phone: 814-467-6378    
Dr. Sahar Elias, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1450 Scalp Ave, Suite 1000, Johnstown, PA 15904
Phone: 814-269-5200    Fax: 814-269-5070
Sandeep Mahal, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1086 Franklin St, Johnstown, PA 15905
Phone: 814-534-9364    
Fredrick William Munzer, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 411 Theatre Dr, Johnstown, PA 15904
Phone: 814-269-4507    Fax: 814-288-0194
Erica Korin Wentz, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1086 Franklin St, Johnstown, PA 15905
Phone: 814-534-9106    

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