Jessie E Mallalieu (NPI# 1073669784, PAC ID# 5193827293) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1073669784 |
| PAC ID by PECOS | 5193827293 |
| Professional Enrollment ID | I20070220000490 |
| Full Name | Jessie E Mallalieu |
| Organization Legal Name | MICHAEL R. WARNER MD PA |
| Address |
63 Thomas Johnson Dr Suite B Frederick MD 21702-4396 |
| Phone Number | 3016982424 |
| Gender | F |
| Credential | PA |
| Graduation Year | 2004 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5496648065 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 63 Thomas Johnson Dr, Suite B, Frederick, MD 21702-4396 | 3016982424 | MICHAEL R. WARNER MD PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Organization Legal Name | MICHAEL R. WARNER MD PA |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wyatt C To | Plastic and Reconstructive Surgery | Michael R. Warner Md Pa | 63 Thomas Johnson Dr, Suite B, Frederick, MD 21702-4396 |
| Sarah Elizabeth Jennings | Nurse Practitioner | Michael R. Warner Md Pa | 63 Thomas Johnson Dr, Suite B, Frederick, MD 21702-4396 |
| Tami Suzanne Mckinney | Physician Assistant | Michael R. Warner Md Pa | 63 Thomas Johnson Dr, Suite B, Frederick, MD 21702-4396 |
| Michael R Warner | Dermatology | Michael R. Warner Md Pa | 63 Thomas Johnson Dr, Suite B, Frederick, MD 21702-4396 |
| Street Address |
63 THOMAS JOHNSON DR SUITE B |
| City | FREDERICK |
| State | MD |
| Zip | 21702-4396 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wyatt C To | Plastic and Reconstructive Surgery | Michael R. Warner Md Pa | 63 Thomas Johnson Dr, Suite B, Frederick, MD 21702-4396 |
| Karen M Hundemer | Family Medicine | Privia Care Center LLC | 63 Thomas Johnson Dr, Suite E, Frederick, MD 21702-4399 |
| Rebecca A Leonard | Physician Assistant | Privia Care Center LLC | 63 Thomas Johnson Dr, Suite E, Frederick, MD 21702-4399 |
| Hillary Seniuk | Nurse Practitioner | Privia Care Center LLC | 63 Thomas Johnson Dr, Suite E, Frederick, MD 21702-4399 |
| Lindsay Mcburney | Physician Assistant | Privia Care Center LLC | 63 Thomas Johnson Dr, Suite E, Frederick, MD 21702-4399 |
| Amanda M Freeman | Physician Assistant | Privia Care Center LLC | 63 Thomas Johnson Dr, Suite E, Frederick, MD 21702-4399 |
| Gerard A Delgrippo | Family Medicine | Privia Care Center LLC | 63 Thomas Johnson Dr, Suite E, Frederick, MD 21702-4399 |
| Michael A Lerner | Family Medicine | Privia Care Center LLC | 63 Thomas Johnson Dr, Suite E, Frederick, MD 21702-4399 |
| Sarah Elizabeth Jennings | Nurse Practitioner | Michael R. Warner Md Pa | 63 Thomas Johnson Dr, Suite B, Frederick, MD 21702-4396 |
| Tami Suzanne Mckinney | Physician Assistant | Michael R. Warner Md Pa | 63 Thomas Johnson Dr, Suite B, Frederick, MD 21702-4396 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kumudhini Hendrix | Anesthesiology | North American Partners In Anesthesia Maryland LLC | 45 Thomas Jefferson Dr, Frederick, MD 21702 |
| Thomas S Davis | Certified Registered Nurse Anesthetist (crna) | North American Partners In Anesthesia Maryland LLC | 45 Thomas Jefferson Dr, Frederick, MD 21702 |
| Debra L Clise | Certified Registered Nurse Anesthetist (crna) | North American Partners In Anesthesia Maryland LLC | 45 Thomas Jefferson Dr, Frederick, MD 21702 |
| Lise Ricotta Asaro | Anesthesiology | North American Partners In Anesthesia Maryland LLC | 45 Thomas Jefferson Dr, Frederick, MD 21702 |
| Susan M Allig | Certified Registered Nurse Anesthetist (crna) | North American Partners In Anesthesia Maryland LLC | 45 Thomas Jefferson Dr, Frederick, MD 21702 |
| Alan S Bronstein | Certified Registered Nurse Anesthetist (crna) | North American Partners In Anesthesia Maryland LLC | 45 Thomas Jefferson Dr, Frederick, MD 21702 |
| Jennifer Lyn Chen | Optometry | Longmeadow Optical, Ltd | 7420 Hayward Rd, Suite 202, Frederick, MD 21702-2507 |
| Dawn Renee Gill | Optometry | Longmeadow Optical, Ltd | 7420 Hayward Rd, Suite 202, Frederick, MD 21702-2507 |
| Allen Gilson | Pulmonary Disease | 6695 Stone Ridge Ct, Frederick, MD 21702-2989 | |
| Gary E Schreiber | Chiropractic | 1446 W Patrick St, Suite 14, Frederick, MD 21702-3277 | |
| Find all physicians in zip 21702 | |||
| City | FREDERICK |
| Zip Code | 21702 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | FREDERICK + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jessie E Mallalieu.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.