| John Michael Malleis, MD | |
| 2859 State St Ste 102, Medford, OR 97504-8495 | |
| (248) 459-5290 | |
| Not Available | 
| Full Name | John Michael Malleis | 
|---|---|
| Gender | Male | 
| Speciality | Internal Medicine | 
| Location | 2859 State St Ste 102, Medford, Oregon | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1144511643 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | MD174285 (Oregon) | Primary | 
| 208000000X | Pediatrics | MD174285 (Oregon) | Secondary | 
| Entity Name | Peacehealth | 
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital | 
| Entity Identifiers | NPI Number: 1902892391 PECOS PAC ID: 1254242357 Enrollment ID: O20030922000023 | 
| Entity Name | Peacehealth Medical Group | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1447207287 PECOS PAC ID: 9032023270 Enrollment ID: O20031113000097 | 
| Entity Name | Peacehealth | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1982774378 PECOS PAC ID: 4587573001 Enrollment ID: O20031215000598 | 
| Entity Name | Peacehealth Medical Group Cottage Grove | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1780631267 PECOS PAC ID: 9436060530 Enrollment ID: O20040616001333 | 
| Entity Name | Peacehealth | 
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital | 
| Entity Identifiers | NPI Number: 1578552402 PECOS PAC ID: 4587573001 Enrollment ID: O20061104000179 | 
| Mailing Address | Practice Location Address | 
|---|---|
| John Michael Malleis, MD 2464 Argonne Ave, Medford, OR 97504-8552 Ph: (248) 459-5290 | John Michael Malleis, MD 2859 State St Ste 102, Medford, OR 97504-8495 Ph: (248) 459-5290 | 
| Helen Koenigsman, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1333 E Barnett Rd, Medford, OR 97504 Phone: 541-779-4711 | |
| Dr. Andrew T Young, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1093 Royal Ct, Medford, OR 97504 Phone: 541-773-7273 Fax: 541-773-2027 | |
| Dr. Todd S Kotler, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 520 Medical Center Drive, Ste 200, Medford, OR 97504 Phone: 541-282-6606 Fax: 541-282-6601 | |
| Dr. Mark G Moran, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 520 Medical Center Drive, Ste 200, Medford, OR 97504 Phone: 541-282-6606 Fax: 541-282-6601 | |
| Dr. June Symens, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 555 Black Oak Dr Ste 400, Medford, OR 97504 Phone: 541-821-6090 | |
| Donald L Bowser, NP Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 520 Medical Center Dr, Suite 100, Medford, OR 97504 Phone: 541-789-5704 Fax: 541-789-5989 | |
| Margaret Sara Fairhurst, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1698 E Mcandrews Rd Ste 400, Medford, OR 97504 Phone: 541-732-7960 |