| Mallory Harvey, | |
|
7547 Jacque Rd, Hudson, FL 34667-7163 | |
| (727) 862-8561 | |
| (727) 863-7296 |
| Full Name | Mallory Harvey |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 3 Years |
| Location | 7547 Jacque Rd, Hudson, Florida |
| 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 |
|---|---|---|---|
| 1932960325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Knoxville Institute Of Dermatology Pllc | 7719072644 | 13 |
| John Robert Hamill, Jr. M.d.p.a. | 9234126749 | 2 |
| Entity Name | Knoxville Institute of Dermatology PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760673743 PECOS PAC ID: 7719072644 Enrollment ID: O20071005000780 |
| Mailing Address | Practice Location Address |
|---|---|
| Mallory Harvey, 7547 Jacque Rd, Hudson, FL 34667-7163 Ph: (727) 862-8561 | Mallory Harvey, 7547 Jacque Rd, Hudson, FL 34667-7163 Ph: (727) 862-8561 |
Mr. Stephen Kette, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7544 Jacque Rd, Hudson, FL 34667 Phone: 727-697-2200 Fax: 727-863-8774 |
Joshua Bosley Kiba, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7544 Jacque Rd, Hudson, FL 34667 Phone: 727-697-2200 Fax: 727-863-8774 |
Bernard Scott Davis, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7544 Jacque Rd, Hudson, FL 34667 Phone: 727-697-2200 Fax: 727-863-8774 |
Robert Obenrader, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7544 Jacque Rd, Hudson, FL 34667 Phone: 727-697-2200 Fax: 727-863-8774 |
Jarron Fevrier, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7544 Jacque Rd, Hudson, FL 34667 Phone: 954-701-7285 |
Rachel Tipton, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7544 Jacque Rd, Hudson, FL 34667 Phone: 727-697-2200 |
Ayesha Falak Kietzman, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13944 Lakeshore Blvd Ste C, Hudson, FL 34667 Phone: 727-605-0252 |