MEDICARE: MAGELLA MEDICAL ASSOCIATES BILLING, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2080N0001X	Neonatal-Perinatal Medicine Physician

General Provider Information

NPI Number	:	1447186770
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAGELLA MEDICAL ASSOCIATES BILLING, INC.

Provider Business Mailing Address
First Line	:	1301 CONCORD TER
Second Line	:
City	:	SUNRISE
State	:	FL
Zip	:	33323-2843
Country	:	US
Telephone Number	:	800-243-3839
Fax Number	:

Provider Business Practice Location Address
First Line	:	7777 FOREST LN
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75230-2571
Country	:	US
Telephone Number	:	972-566-7000
Fax Number	:

Authorized Official
Title or Position	:	ASSISTANT SECRETARY
Name	:	MICHAEL D DWYER
Credential	:
Telephone Number	:	800-243-3839

Provider Enumeration Date	:	06/23/2026
Last Update Date	:	06/23/2026

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