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William J. Malone

Radiology

Allopathic & Osteopathic Physicians

100 N Academy Ave, Danville, PA 17822-2007

PECOS Enrollment

This provider is enrolled in PECOS as WILLIAM MALONE.

Based on the most recent information from CMS, provider William J. Malone is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1548221112
Provider Type
Individual
Full Name
Malone, William J.
Title
Dr.
Credential
D.O.

Gender
Male
Sole Proprietor
No
Enumeration Date
3/31/2006
Last Updated
5/1/2013

Contact Information

Practice Location

100 N Academy Ave, Danville, PA 17822-2007

(570) 271-6301

(570) 271-5976

Mailing Location

100 N Academy Ave, Credentials Dept, Danville, PA 17822-4903

(570) 271-6144

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 2085R0202X Primary	Description Radiology Allopathic & Osteopathic Physicians	License OS012184 Pennsylvania

Provider Identifiers

ID	Description	Issuer
ID 1014566690001	Description Medicaid	Issuer Unlisted Pennsylvania

William J. Malone

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Nevers, Thomas

Koconis, Kristen

Rogers, Kenneth J.

Woomert, Cathleen A.

Chamarthi, Suresh Kumar

Dalal, Shamsher Singh

Bokhari, Maria Rizwan

Strickland, Mary L.

Lock, Joseph

Bachert, Brandon John