| Mrs Mallory Jean Henson, PA | |
|
6800 State Route 162 Ste 200, Maryville, IL 62062-8521 | |
| (618) 288-0900 | |
| (618) 288-0909 |
| Full Name | Mrs Mallory Jean Henson |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 6800 State Route 162 Ste 200, Maryville, Illinois |
| 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 |
|---|---|---|---|
| 1043856701 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 085007315 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hshs St Elizabeth's Hospital | O fallon, IL | Hospital |
| Anderson Hospital | Maryville, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Midwest Inpatient Anderson Health Inc | 3072908474 | 40 |
| Urology Of St. Louis, Inc | 6204723786 | 58 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Mallory Jean Henson, PA 12855 N 40 Dr Ste 375, Saint Louis, MO 63141-8657 Ph: (314) 567-6071 | Mrs Mallory Jean Henson, PA 6800 State Route 162 Ste 200, Maryville, IL 62062-8521 Ph: (618) 288-0900 |
Stephen M Broaddus, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 6800 State Route 162, Maryville, IL 62062 Phone: 618-267-0401 | |
Mr. Alan Michael Meredith, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6812 State Route 162, Suite 21, Maryville, IL 62062 Phone: 618-288-5566 Fax: 618-288-4005 | |
Michael Barajas, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6812 State Route 162, Suite 120, Maryville, IL 62062 Phone: 618-288-0044 Fax: 618-288-0066 | |
Mrs. Christine Werner, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2704 N Center St, Maryville, IL 62062 Phone: 618-288-0656 | |
Jessica Leigh Gibson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2704 N Center St, Maryville, IL 62062 Phone: 270-556-8641 | |
Jessica Nussbaum, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 6812 State Route 162 Ste 120, Maryville, IL 62062 Phone: 618-288-0044 |