| Dr Adrianne Rose Mallen, MD | |
|
6500 Excelsior Blvd, Saint Louis Park, MN 55426-4702 | |
| (952) 993-3282 | |
| Not Available |
| Full Name | Dr Adrianne Rose Mallen |
|---|---|
| Gender | Female |
| Speciality | Gynecological Oncology |
| Experience | 12 Years |
| Location | 6500 Excelsior Blvd, Saint Louis Park, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831535558 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207VX0201X | Obstetrics & Gynecology - Gynecologic Oncology | 67172 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fairview Southdale Hospital | Edina, MN | Hospital |
| Abbott Northwestern Hospital | Minneapolis, MN | Hospital |
| Ridgeview Medical Center | Waconia, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Novacare Outpatient Rehabilitation East, Inc. | 3678480290 | 410 |
| Minnesota Oncology Hematology Pa | 6709799752 | 103 |
| Entity Name | Minnesota Oncology Hematology Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528035995 PECOS PAC ID: 6709799752 Enrollment ID: O20031106000626 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Adrianne Rose Mallen, MD 6500 Excelsior Blvd, Saint Louis Park, MN 55426-4702 Ph: (952) 993-3282 | Dr Adrianne Rose Mallen, MD 6500 Excelsior Blvd, Saint Louis Park, MN 55426-4702 Ph: (952) 993-3282 |
Dr. Christine Marie Leitgen, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 6500 Excelsior Blvd, Saint Louis Park, MN 55426 Phone: 952-993-1000 | |
Dr. Matthew Banfield, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd, Hvc 5th Floor, Saint Louis Park, MN 55426 Phone: 952-993-3282 |