Dr Mallory E Novack, DO | |
400 N Pepper Ave # 206, Colton, CA 92324-1801 | |
(909) 580-2270 | |
(909) 580-3289 |
Full Name | Dr Mallory E Novack |
---|---|
Gender | Female |
Speciality | Obstetrics/gynecology |
Experience | 12 Years |
Location | 400 N Pepper Ave # 206, Colton, 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 |
---|---|---|---|
1427324185 | NPI | - | NPPES |
1427324185 | Other | MT | NPI |
1427324185 | Medicaid | MT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 49924 (Montana) | Secondary |
207V00000X | Obstetrics & Gynecology | 20A13191 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kalispell Regional Medical Center Inc | 5294644381 | 363 |
Entity Name | Community Hospital Of Anaconda |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1205887924 PECOS PAC ID: 8123938974 Enrollment ID: O20030507000045 |
Entity Name | Community Hospital Of Anaconda |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538597703 PECOS PAC ID: 8123938974 Enrollment ID: O20031119000745 |
Entity Name | Kalispell Regional Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235333139 PECOS PAC ID: 5294644381 Enrollment ID: O20031122000142 |
Mailing Address | Practice Location Address |
---|---|
Dr Mallory E Novack, DO 10273 Northridge Dr, Rancho Cucamonga, CA 91737-3042 Ph: (406) 498-1090 | Dr Mallory E Novack, DO 400 N Pepper Ave # 206, Colton, CA 92324-1801 Ph: (909) 580-2270 |
Dr. Bert J. Davidson, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-6320 Fax: 909-580-6369 | |
Dr. Jasmaine Coleman, DO Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-4145 | |
Dr. Mohammadreza Ghayuri, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-3470 Fax: 909-580-3289 | |
Dr. Buuloc Tan Luu, D.O. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-3470 | |
Dr. Thuy Duong Mai, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-3470 | |
Michelle Mellon, Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-1000 | |
Dr. Ramon M Cestero, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave, 6th Floor South, Colton, CA 92324 Phone: 909-580-6320 Fax: 909-580-6369 |