| Mallory Lynn Obrien, | |
|
13389 Elaine Ct, Savage, MN 55378-2457 | |
| (612) 360-7054 | |
| Not Available |
| Full Name | Mallory Lynn Obrien |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 1 Years |
| Location | 13389 Elaine Ct, Savage, Minnesota |
| 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 |
|---|---|---|---|
| 1821845769 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ridgeview Medical Center | Waconia, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ridgeview Medical Center | 9234041997 | 407 |
| Entity Name | Ridgeview Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528364429 PECOS PAC ID: 9234041997 Enrollment ID: O20031111000183 |
| Mailing Address | Practice Location Address |
|---|---|
| Mallory Lynn Obrien, 13389 Elaine Ct, Savage, MN 55378-2457 Ph: (612) 360-7054 | Mallory Lynn Obrien, 13389 Elaine Ct, Savage, MN 55378-2457 Ph: (612) 360-7054 |
Anna Marie Mukaria, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6150 Egan Dr, Savage, MN 55378 Phone: 952-428-3370 |
Hanah Sill Tetrault, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6350 W 143rd St Ste 102, Savage, MN 55378 Phone: 952-428-1000 |
Sarah Porterfield, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6350 W 143rd St Ste 102, Savage, MN 55378 Phone: 952-428-1000 Fax: 952-428-0499 |
Stacy Marie Anderson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6350 W 143rd St Ste 102, Savage, MN 55378 Phone: 952-428-0200 |
Souad N Brobby, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6350 W 143rd St Ste 200, Savage, MN 55378 Phone: 952-428-1010 |
Terry J Larimer, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6350 W 143rd St Ste 102, Savage, MN 55378 Phone: 952-428-1000 Fax: 952-428-0499 |
Kenneth Newton O'neil, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 13944 Edgewood Ave Unit 113, Savage, MN 55378 Phone: 612-594-4994 |