Cheryl A Mallory, MD | |
2315 8th St, Lewiston, ID 83501-7301 | |
(208) 746-1383 | |
(208) 746-6348 |
Full Name | Cheryl A Mallory |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 31 Years |
Location | 2315 8th St, Lewiston, Idaho |
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 |
---|---|---|---|
1386677722 | NPI | - | NPPES |
1386677722 | Other | ID | REGENCE BLUESHIELD |
1386677722 | Medicaid | ID | |
1009174 | Medicaid | WA | |
177340 | Other | WA | L&I |
307956 | Other | WA | L & I MEDICAL PROVIDER NETWORK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD000637598 (Washington) | Secondary |
207Q00000X | Family Medicine | M-10915 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Joseph Regional Medical Center | Lewiston, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Catalyst Medical Group Pllc | 2365722105 | 37 |
Catalyst Medical Group Pllc | 2365722105 | 37 |
Entity Name | Catalyst Medical Group Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912458787 PECOS PAC ID: 2365722105 Enrollment ID: O20161213001006 |
Mailing Address | Practice Location Address |
---|---|
Cheryl A Mallory, MD 2315 8th St, Lewiston, ID 83501-7301 Ph: (208) 746-1383 | Cheryl A Mallory, MD 2315 8th St, Lewiston, ID 83501-7301 Ph: (208) 746-1383 |
Dr. Christina R Bjornstad, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 625 6th Ave, Lewiston, ID 83501 Phone: 208-743-8226 Fax: 208-746-2069 | |
Larry Dean Harries, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 307 St Johns Way, Ste 4, Lewiston, ID 83501 Phone: 208-743-8585 Fax: 208-743-0118 | |
Dr. Christine C Schaller, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2315 8th St, Lewiston, ID 83501 Phone: 208-983-5120 Fax: 208-983-5404 | |
Dr. Donald J Greggain, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 415 6th St Ste 3c, Lewiston, ID 83501 Phone: 208-750-3840 Fax: 208-750-3839 | |
Glenn E Jefferson Jr., MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2315 8th St, Lewiston, ID 83501 Phone: 208-746-1383 Fax: 208-746-6348 | |
Celso R Chavez, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1522 17th St, Lewiston, ID 83501 Phone: 208-743-8416 Fax: 208-743-4642 |