| Mallory E Harris, PA | |
|
3751 W Main St, Independence, KS 67301-8446 | |
| (620) 331-1748 | |
| Not Available |
| Full Name | Mallory E Harris |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 12 Years |
| Location | 3751 W Main St, Independence, Kansas |
| 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 |
|---|---|---|---|
| 1033519830 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 15-01717 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sck Health | Arkansas city, KS | Hospital |
| William Newton Memorial Hospital | Winfield, KS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Four County Mental Health Center Inc | 7012904071 | 22 |
| Entity Name | Four County Mental Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841290251 PECOS PAC ID: 7012904071 Enrollment ID: O20040430000887 |
| Mailing Address | Practice Location Address |
|---|---|
| Mallory E Harris, PA Po Box 688, Independence, KS 67301-0688 Ph: Not Available | Mallory E Harris, PA 3751 W Main St, Independence, KS 67301-8446 Ph: (620) 331-1748 |
Thomas W. Cloven, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3354 Highway 160, Independence, KS 67301 Phone: 620-331-1748 Fax: 620-332-1951 |
Mr. Derek Edward Wilson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 800 W Laurel St, Independence, KS 67301 Phone: 620-332-3280 Fax: 620-332-3281 |