| Mallory B Warren-brothers, PA-C | |
|
608 Old Route 66, Saint Robert, MO 65584-3730 | |
| (573) 336-5100 | |
| Not Available |
| Full Name | Mallory B Warren-brothers |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 608 Old Route 66, Saint Robert, Missouri |
| 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 |
|---|---|---|---|
| 1043925639 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 2023011900 (Missouri) | Primary |
| 247100000X | Radiologic Technologist | 588293 (Missouri) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Integrity Home Care + Hospice | Springfield, MO | Home health agency |
| Mercy Hospital Lebanon | Lebanon, MO | Hospital |
| Mercy Hospital Springfield | Springfield, MO | Hospital |
| Lake Regional Health System | Osage beach, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Clinic Springfield Communities | 7416865845 | 1121 |
| Entity Name | Mercy Clinic Springfield Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245277631 PECOS PAC ID: 7416865845 Enrollment ID: O20031104000060 |
| Entity Name | Mercy Clinic Springfield Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972771657 PECOS PAC ID: 7416865845 Enrollment ID: O20031218000354 |
| Mailing Address | Practice Location Address |
|---|---|
| Mallory B Warren-brothers, PA-C 608 Old Route 66, Saint Robert, MO 65584-3730 Ph: (573) 336-5100 | Mallory B Warren-brothers, PA-C 608 Old Route 66, Saint Robert, MO 65584-3730 Ph: (573) 336-5100 |
Mr. Jon G. Moore, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 608 Old Route 66, Saint Robert, MO 65584 Phone: 573-336-5100 |
Mr. James Brandon Reeves, PA-C, MPT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 608 Old Route 66, Saint Robert, MO 65584 Phone: 573-336-5100 |
Kristopher Stephen Flynt, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 608 Old Route 66, Saint Robert, MO 65584 Phone: 573-336-5100 |
Mr. Arthur William Sampe, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 20125 Highway Y, Saint Robert, MO 65584 Phone: 573-433-6619 |