| Mallory M Johansen, | |
|
501 E. Hampden Ave., Englewood, CO 80113-2702 | |
| (303) 788-6911 | |
| (303) 306-7753 |
| Full Name | Mallory M Johansen |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 501 E. Hampden Ave., Englewood, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457753626 | NPI | - | NPPES |
| 96028343 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (Colorado) | Secondary |
| 363A00000X | Physician Assistant | PA.0004112 (Colorado) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mallory M Johansen, P.o. Box 173862, Denver, CO 80217-3862 Ph: (303) 306-7783 | Mallory M Johansen, 501 E. Hampden Ave., Englewood, CO 80113-2702 Ph: (303) 788-6911 |
Mrs. Stacy Maxwell Beharry, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 799 E Hampden Ave, Sute 400, Englewood, CO 80113 Phone: 303-789-2663 Fax: 303-788-4871 | |
Megan Nora Cronin, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 701 E Hampden Ave, #515, Englewood, CO 80113 Phone: 303-209-2503 Fax: 303-761-0803 | |
Natalie Lucille Tannenbaum, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3501 S Clarkson St, Englewood, CO 80113 Phone: 303-783-8844 | |
Terra Lynn Bookout, MS, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 125 Inverness Dr E, Suite 240, Englewood, CO 80112 Phone: 720-863-1004 | |
Mr. John Edward Marquez, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3330 S Broadway, Unit 566, Englewood, CO 80151 Phone: 303-668-5231 Fax: 720-920-9791 | |
Claire Sakamoto, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 501 E Hampden Ave, Englewood, CO 80113 Phone: 303-788-6911 Fax: 303-788-5078 | |
Matthew Truitte, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 499 E Hampden Ave Ste 200, Englewood, CO 80113 Phone: 303-705-2002 Fax: 303-954-4506 |