John Michael Malleis, MD | |
2859 State St Ste 102, Medford, OR 97504-8495 | |
(248) 459-5290 | |
Not Available |
Full Name | John Michael Malleis |
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Gender | Male |
Speciality | Internal Medicine |
Location | 2859 State St Ste 102, Medford, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144511643 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD174285 (Oregon) | Primary |
208000000X | Pediatrics | MD174285 (Oregon) | Secondary |
Entity Name | Peacehealth |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1902892391 PECOS PAC ID: 1254242357 Enrollment ID: O20030922000023 |
Entity Name | Peacehealth Medical Group Cottage Grove |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780631267 PECOS PAC ID: 9436060530 Enrollment ID: O20040616001333 |
Entity Name | Peacehealth |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760704878 PECOS PAC ID: 6507997475 Enrollment ID: O20110104001109 |
Mailing Address | Practice Location Address |
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John Michael Malleis, MD 2464 Argonne Ave, Medford, OR 97504-8552 Ph: (248) 459-5290 | John Michael Malleis, MD 2859 State St Ste 102, Medford, OR 97504-8495 Ph: (248) 459-5290 |
Helen Koenigsman, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1333 E Barnett Rd, Medford, OR 97504 Phone: 541-779-4711 | |
Dr. Todd S Kotler, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 520 Medical Center Drive, Ste 200, Medford, OR 97504 Phone: 541-282-6606 Fax: 541-282-6601 | |
Dr. Mark G Moran, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 520 Medical Center Drive, Ste 200, Medford, OR 97504 Phone: 541-282-6606 Fax: 541-282-6601 | |
Dr. June Symens, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 555 Black Oak Dr Ste 400, Medford, OR 97504 Phone: 541-821-6090 | |
Donald L Bowser, NP Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 520 Medical Center Dr, Suite 100, Medford, OR 97504 Phone: 541-789-5704 Fax: 541-789-5989 | |
Margaret Sara Fairhurst, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1698 E Mcandrews Rd Ste 400, Medford, OR 97504 Phone: 541-732-7960 | |
Dr. Sulagshan Mahendrarajah, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 520 Medical Center Drive, Suite 201, Medford, OR 97504 Phone: 541-789-5790 Fax: 541-789-5711 |