| Joseph Ben Mallory, MD | |
|
3600 Minnesota Dr Ste 800, Edina, MN 55435-7915 | |
| (612) 595-1100 | |
| (612) 294-4903 |
| Full Name | Joseph Ben Mallory |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 49 Years |
| Location | 3600 Minnesota Dr Ste 800, Edina, Minnesota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649367251 | NPI | - | NPPES |
| 05032053 | Other | IL | BCBS OF IL |
| 036063108 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 036063108 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Portsmouth Regional Hospital | Portsmouth, NH | Hospital |
| Medical Center Hospital | Odessa, TX | Hospital |
| Ozarks Healthcare | West plains, MO | Hospital |
| The Carle Foundation Hospital | Urbana, IL | Hospital |
| Allen Hospital | Waterloo, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Singleton Associates Pa | 6305731118 | 814 |
| Virtual Radiologic Professionals Llc | 4981608817 | 392 |
| Monadnock Community Hospital | 7416933031 | 67 |
| Entity Name | Singleton Associates PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538107875 PECOS PAC ID: 6305731118 Enrollment ID: O20040315000385 |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph Ben Mallory, MD 3600 Minnesota Dr Ste 800, Edina, MN 55435-7915 Ph: (612) 595-1100 | Joseph Ben Mallory, MD 3600 Minnesota Dr Ste 800, Edina, MN 55435-7915 Ph: (612) 595-1100 |
Christopher Calixte, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3600 Minnesota Dr Ste 800, Edina, MN 55435 Phone: 952-595-1100 Fax: 612-294-4903 |
Paul D Guisler, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3600 Minnesota Dr Ste 800, Edina, MN 55435 Phone: 952-595-1301 Fax: 612-294-4903 |
Krishna Vaidyanathan Iyer, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3600 Minnesota Dr Ste 800, Edina, MN 55435 Phone: 952-595-1100 |
Rati Narendra Patel, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3600 Minnesota Dr Ste 800, Edina, MN 55435 Phone: 952-595-1301 Fax: 612-294-4903 |
Susanne S. Kim, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3600 Minnesota Dr Ste 800, Edina, MN 55435 Phone: 952-595-1301 Fax: 612-294-4903 |
Gwendolyn Durgin, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3600 Minnesota Dr Ste 800, Edina, MN 55435 Phone: 952-595-1301 Fax: 612-294-4903 |
Robert L Edwards, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3600 Minnesota Dr Ste 800, Edina, MN 55435 Phone: 952-595-1100 |