Kelley Wachter Mali, PA-C - Medicare Physician Assistant in Belleville, NJ

Kelley Wachter Mali, PA-C is a medicare enrolled "Physician Assistant" in Belleville, New Jersey. Her current practice location is 50 Newark Ave, Suite 205, Belleville, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 429-2209.

Kelley Wachter Mali is licensed to practice in New Jersey (license number 25MP00280600) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1477811032.

Contact Information

Kelley Wachter Mali, PA-C
50 Newark Ave, Suite 205,
Belleville, NJ 07109-1185
(973) 429-2209
Not Available



Provider's Profile

Full NameKelley Wachter Mali
GenderFemale
SpecialityPhysician Assistant
Location50 Newark Ave, Belleville, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1477811032
  • Provider Enumeration Date: 05/01/2012
  • Last Update Date: 09/20/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 1951699503
  • Enrollment ID: I20161013001814

Medical Identifiers

Medical identifiers for Kelley Wachter Mali such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477811032NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 25MP00280600 (New Jersey)Primary

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. Kelley Wachter Mali 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
Kelley Wachter Mali, PA-C
72 Yorkshire Dr,
Cedar Grove, NJ 07009-2036

Ph: (908) 399-3506
Kelley Wachter Mali, PA-C
50 Newark Ave, Suite 205,
Belleville, NJ 07109-1185

Ph: (973) 429-2209

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Physician Assistant Nurses in Belleville, NJ

Miss Lucknie Ovincy, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 50 Newark Ave, Belleville, NJ 07109
Phone: 973-751-2060    
Jurga Marshall, P.A.
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1 Clara Maass Dr, Clara Maass Medical Center, Belleville, NJ 07109
Phone: 973-450-2000    
Lellas Alhallak, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1 Clara Maass Dr, Belleville, NJ 07109
Phone: 973-450-2000    
James Pormentilla, P.A.
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1 Clara Maass Dr, Clara Maass Medical Center, Belleville, NJ 07109
Phone: 973-450-2000    Fax: 973-251-1109
Alexandria Mary Zummo, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1 Clara Maass Dr, Belleville, NJ 07109
Phone: 973-450-2000    
Jessica Rochelle Lansky,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1 Clara Maass Dr, Belleville, NJ 07109
Phone: 973-450-2100    
Daniela Villaman, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 36 Newark Ave Ste 132, Belleville, NJ 07109
Phone: 973-844-4161    

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