TINA MALM PA NPI 1003041898

Physician Assistant in Ponchatoula, LA

NPI 1003041898 Individual Female Years of Experience 13 Physician Assistant PECOS Enrolled Accepts Medicare Approved Payment

About TINA MALM

Tina Malm is a primary care provider established in Ponchatoula, Louisiana and her medical specialization is physician assistant with more than 13 years of experience. The NPI number of Tina Malm is 1003041898 and was assigned on May 2009. The practitioner's primary taxonomy code is 363A00000X with license number 324081 (LA). The provider is registered as an individual and her NPI record was last updated September 2021.

A primary care provider (PCP) like Tina Malm Pa sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Tina Malm is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Tina Malm is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

NPI

1003041898

Provider Name TINA MALM PA
Provider Location Address1668 US-51 N PONCHATOULA, LA 70454
Provider Mailing AddressPO BOX 3360 PORTLAND, OR 97208
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2009
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date05-21-2009
Last Update Date09-22-2021


Primary Taxonomy

Taxonomy Code363A00000X
ClassificationPhysician Assistant
TypePhysician Assistants & Advanced Practice Nursing Providers
License No.324081
License StateLA
Taxonomy DescriptionA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Business Address

TINA MALM PA
1668 US-51 N
PONCHATOULA, LA
ZIP 70454
Phone: (985) 401-4022
Fax: (985) 401-4023

Get Directions


Mailing Address

TINA MALM PA
PO BOX 3360
PORTLAND, OR
ZIP 97208
Phone:



Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical0110002949VANo

Taxonomy Description: Not Available

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.