Gregory William Mallek, MD | |
1400 E Kincaid St, Mount Vernon, WA 98274-4127 | |
(360) 428-2575 | |
(360) 428-6471 |
Full Name | Gregory William Mallek |
---|---|
Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 1400 E Kincaid St, Mount Vernon, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003012303 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | MD60902474 (Washington) | Primary |
Entity Name | Legacy Clinics Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089 |
Entity Name | Good Shepherd Health Care System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295789667 PECOS PAC ID: 9133033764 Enrollment ID: O20031118000046 |
Entity Name | Tuality Healthcare |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275591984 PECOS PAC ID: 3678486107 Enrollment ID: O20040130000359 |
Entity Name | Northwest Women's Clinic, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043204225 PECOS PAC ID: 4183610447 Enrollment ID: O20040422000212 |
Entity Name | Tuality Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073929782 PECOS PAC ID: 7416173414 Enrollment ID: O20140729000238 |
Entity Name | Obhg Oregon Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528585148 PECOS PAC ID: 2365776390 Enrollment ID: O20190626000182 |
Mailing Address | Practice Location Address |
---|---|
Gregory William Mallek, MD 1400 E Kincaid St, Mount Vernon, WA 98274-4127 Ph: () - | Gregory William Mallek, MD 1400 E Kincaid St, Mount Vernon, WA 98274-4127 Ph: (360) 428-2575 |
William N Hinderstein, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1400 E Kincaid St, Mount Vernon, WA 98274 Phone: 360-428-2500 Fax: 360-428-6485 | |
Christopher 0 Prompuntagorn, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1400 E Kincaid St, Mount Vernon, WA 98274 Phone: 360-428-2575 Fax: 360-428-6471 | |
Dr. Trisha N. Halvorsen, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1400 E Kincaid St, Mount Vernon, WA 98274 Phone: 360-428-2575 Fax: 360-428-6471 | |
Autumn Michelle Walker, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1400 E Kincaid St, Mount Vernon, WA 98274 Phone: 360-428-2575 Fax: 360-428-6471 | |
Melissa S Chinn, DO Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 111 S 12th St, Mount Vernon, WA 98274 Phone: 360-678-0831 Fax: 360-678-0583 | |
Jan C Delli-bovi, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1400 E Kincaid St, Mount Vernon, WA 98274 Phone: 360-428-2500 Fax: 360-428-6485 |