| Mallory J Easter, PA-C | |
|
525 Bob Peters Grv, Colorado Springs, CO 80909-4533 | |
| (720) 848-0000 | |
| Not Available |
| Full Name | Mallory J Easter |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 525 Bob Peters Grv, Colorado Springs, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619403078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA.0006555 (Colorado) | Secondary |
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Primary |
| Entity Name | Ochsner Clinic LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538151428 PECOS PAC ID: 8224933619 Enrollment ID: O20031126000513 |
| Mailing Address | Practice Location Address |
|---|---|
| Mallory J Easter, PA-C Po Box 110429, Aurora, CO 80042-0429 Ph: Not Available | Mallory J Easter, PA-C 525 Bob Peters Grv, Colorado Springs, CO 80909-4533 Ph: (720) 848-0000 |
Mrs. Lauren Elizabeth Spain, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 175 S Union Blvd Ste 125, Colorado Springs, CO 80910 Phone: 719-365-1950 Fax: 719-365-1951 |
Ms. Kirsten Felice Harlow, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 175 S Union Blvd Ste 125, Colorado Springs, CO 80910 Phone: 719-365-1950 Fax: 719-365-1951 |
Miss Jamie Elizabeth Brady, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 525 Bob Peters Grv Ste 302, Colorado Springs, CO 80909 Phone: 719-365-5445 Fax: 719-365-5530 |
Varinia Vigueras, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4110 Briargate Pkwy Ste 460, Colorado Springs, CO 80920 Phone: 719-364-6488 |
Vi T Pham, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 722 S Wahsatch Ave, Colorado Springs, CO 80903 Phone: 719-632-5700 |
Caleb Seth Smith, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 175 S Union Blvd, Colorado Springs, CO 80910 Phone: 337-550-9939 |
Emily Lynn Rauchut, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6031 E Woodmen Rd Ste 300, Colorado Springs, CO 80923 Phone: 719-521-3391 |