| Craig Mallory, PA-C | |
|
16001 W 9 Mile Rd, Southfield, MI 48075-4818 | |
| (248) 849-3137 | |
| Not Available |
| Full Name | Craig Mallory |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 7 Years |
| Location | 16001 W 9 Mile Rd, Southfield, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801329628 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601008170 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension Providence Hospital, Southfield And Novi | Southfield, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Royal Urgent Care Pllc | 3779851738 | 9 |
| Howell Urgent Care Pllc | 6608241245 | 9 |
| Mailing Address | Practice Location Address |
|---|---|
| Craig Mallory, PA-C Po Box 100, Royal Oak, MI 48068-0100 Ph: (248) 849-3137 | Craig Mallory, PA-C 16001 W 9 Mile Rd, Southfield, MI 48075-4818 Ph: (248) 849-3137 |
Amy G. Connolly, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 22255 Greenfield Rd Ste 590, Southfield, MI 48075 Phone: 248-849-4990 Fax: 248-849-4991 | |
Mr. Gary Girard Errigo, PA C Physician Assistant Medicare: Medicare Enrolled Practice Location: 17515 W Nine Mile Road, Suite 340, Southfield, MI 48075 Phone: 248-569-2695 Fax: 248-569-7250 | |
Elizabeth Kowynia, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 29405 Greenfield Rd, Southfield, MI 48076 Phone: 248-983-5330 Fax: 248-327-7482 | |
Mrs. Amanda Jane Marcozzi, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-3000 | |
Mr. Rafik E Mansour, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 23832 Southfield Rd, Southfield, MI 48075 Phone: 248-569-2600 | |
Kimberly Gadulka, MS, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 18161 W 13 Mile Rd Ste E1, Southfield, MI 48076 Phone: 248-642-8989 | |
Kaitlin Elizabeth Flaherty, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 30130 Northgate Ln, Southfield, MI 48076 Phone: 248-217-7276 |