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Thomas Ellis Malone

Anesthesiology

Allopathic & Osteopathic Physicians

14820 Physicians Ln, 242, Rockville, MD 20850-3945

PECOS Enrollment

This provider is enrolled in PECOS as THOMAS MALONE.

Based on the most recent information from CMS, provider Thomas Ellis 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 8 days ago.

Profile Details

Provider ID
1568400836
Provider Type
Individual
Full Name
Malone, Thomas Ellis
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
6/2/2006
Last Updated
7/8/2007

Contact Information

Practice Location

14820 Physicians Ln, 242, Rockville, MD 20850-3945

(301) 838-9606

(301) 838-9029

Mailing Location

11667 Fairmont Pl, Ijamsville, MD 21754-9140

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207L00000X Primary	Description Anesthesiology Allopathic & Osteopathic Physicians	License M36473 Maryland

Thomas Ellis Malone

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Eitel, Alexander K

Sandman, Llc

Tan, Rojack

Study, Robert E

Laheri, Harkisan

Holy Cross Anesthesiology Associate Pa

Potomac Anesthesia Consultants Llc

Pauliukonis, Kestutis J

Monteiro, Lamona R

Grayson, Roger F