| Craig Mallory, PA-C | |
|
16001 W 9 Mile Rd, Southfield, MI 48075-4818 | |
| (248) 849-3137 | |
| Not Available |
| Full Name | Craig Mallory |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 9 Years |
| Location | 16001 W 9 Mile Rd, Southfield, Michigan |
| 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 |
|---|---|---|---|
| 1801329628 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601008170 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| First Choice Urgent Care Pc | 9739221912 | 45 |
| Entity Name | Independent Emergency Physicians PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780791343 PECOS PAC ID: 6709798325 Enrollment ID: O20031103000407 |
| Entity Name | Henry Ford Health St. John Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043478910 PECOS PAC ID: 3173424082 Enrollment ID: O20040115000409 |
| Entity Name | Lakeside Urgent Care PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720159304 PECOS PAC ID: 0446146385 Enrollment ID: O20040226000404 |
| Entity Name | Oxford Urgent Care PLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700036936 PECOS PAC ID: 7214094291 Enrollment ID: O20090318000322 |
| Entity Name | Independent Observation Physicians PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700119500 PECOS PAC ID: 3577603604 Enrollment ID: O20091221000327 |
| Entity Name | First Choice Urgent Care PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629201264 PECOS PAC ID: 9739221912 Enrollment ID: O20100126000872 |
| Entity Name | Shelby Urgent Care PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326320599 PECOS PAC ID: 5597932525 Enrollment ID: O20120116000055 |
| Entity Name | Elizabeth Lake Urgent Care PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538585260 PECOS PAC ID: 3375769078 Enrollment ID: O20140731002302 |
| Entity Name | Seton Health Corporation of Southeastern Michigan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598177065 PECOS PAC ID: 2567689540 Enrollment ID: O20140814002590 |
| Entity Name | Royal Urgent Care PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952833196 PECOS PAC ID: 3779851738 Enrollment ID: O20170615000258 |
| Entity Name | Ieppc Urgent Care PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689235897 PECOS PAC ID: 9032448766 Enrollment ID: O20190905002667 |
| Entity Name | Romeo Plank Urgent Care PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184385791 PECOS PAC ID: 4880088962 Enrollment ID: O20220307001885 |
| Entity Name | Harper Urgent Care PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992442560 PECOS PAC ID: 6507247939 Enrollment ID: O20220718000766 |
| Entity Name | Mound Urgent Care PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063159630 PECOS PAC ID: 6507247889 Enrollment ID: O20220718002478 |
| Entity Name | Howell Urgent Care PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063124014 PECOS PAC ID: 6608241245 Enrollment ID: O20230412001490 |
| Mailing Address | Practice Location Address |
|---|---|
| Craig Mallory, PA-C Po Box 100, Royal Oak, MI 48068-0100 Ph: (248) 849-3137 | Craig Mallory, PA-C 16001 W 9 Mile Rd, Southfield, MI 48075-4818 Ph: (248) 849-3137 |
Alexa Chris Jarboa, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 21311 Civic Center Dr, Southfield, MI 48076 Phone: 248-881-9800 |
Alexandria Sheree Romero, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 16500 N Park Dr Apt 1806, Southfield, MI 48075 Phone: 209-777-1245 |
Amy G. Connolly, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 22255 Greenfield Rd Ste 590, Southfield, MI 48075 Phone: 248-849-4990 Fax: 248-849-4991 |
Mr. Gary Girard Errigo, PA C Physician Assistant Medicare: Medicare Enrolled Practice Location: 17515 W Nine Mile Road, Suite 340, Southfield, MI 48075 Phone: 248-569-2695 Fax: 248-569-7250 |
Elizabeth Kowynia, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 29405 Greenfield Rd, Southfield, MI 48076 Phone: 248-983-5330 Fax: 248-327-7482 |
Mrs. Amanda Jane Marcozzi, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-3000 |
Ms. Eleanor Rachael Wiedeman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 26025 Lahser Rd Fl 2, Southfield, MI 48033 Phone: 248-663-1900 Fax: 844-598-9633 |