| Mallory Elysa Dawson, | |
|
1901 4th St Ste 201, Berkeley, CA 94710-1986 | |
| (510) 929-1400 | |
| (510) 929-1414 |
| Full Name | Mallory Elysa Dawson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 1 Years |
| Location | 1901 4th St Ste 201, Berkeley, California |
| 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 |
|---|---|---|---|
| 1770444309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | 95037603 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Accentcare Home Health Of California, Inc | San ramon, CA | Home health agency |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pine Park Health, Inc | 0345670527 | 21 |
| Entity Name | Pine Park Health, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346879848 PECOS PAC ID: 0345670527 Enrollment ID: O20200501001068 |
| Mailing Address | Practice Location Address |
|---|---|
| Mallory Elysa Dawson, Po Box 511250, Los Angeles, CA 90051-7805 Ph: (510) 929-1400 | Mallory Elysa Dawson, 1901 4th St Ste 201, Berkeley, CA 94710-1986 Ph: (510) 929-1400 |
Jessica B. Vetter, RN, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2222 Bancroft Way, #4300, Berkeley, CA 94720 Phone: 510-642-9494 |
Patricia Monger Harwood, RN.NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2222 Bancroft Avenue, Berkeley, CA 94704 Phone: 510-642-8833 |
Miss Madeline Tam Chow, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1510 4th St, Suite 1, Berkeley, CA 94710 Phone: 510-525-8980 Fax: 510-525-8982 |
Zena E Herman, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 837 Addison St, Berkeley, CA 94710 Phone: 510-981-4100 |
Kathryn Leach, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2222 Bancroft Way, Berkeley, CA 94720 Phone: 510-642-2000 |
Stephanie Michelle Tai, FNP, MSN, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 Milvia St, Berkeley, CA 94704 Phone: 510-204-5600 |
Denise Scholz, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3260 Sacramento St, Berkeley, CA 94702 Phone: 510-981-4100 |