James S Mallery, MD - Medicare Gastroenterology in St Louis Park, MN

James S Mallery, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in St Louis Park, Minnesota. He went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 1990 and has 34 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice Fairview Express Care and his current practice location is 6500 Excelsior Blvd Suite 4-820, Digestive And Endoscopy Center Methodist Hospital, St Louis Park, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 993-3240.

James S Mallery is licensed to practice in Minnesota (license number 36617) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1851331441.

Contact Information

James S Mallery, MD
6500 Excelsior Blvd Suite 4-820, Digestive And Endoscopy Center Methodist Hospital,
St Louis Park, MN 55426
(952) 993-3240
(952) 993-2640



Physician's Profile

Full NameJames S Mallery
GenderMale
SpecialityGastroenterology
Experience34 Years
Location6500 Excelsior Blvd Suite 4-820, St Louis Park, Minnesota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • James S Mallery attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 1990
  NPI Data:
  • NPI Number: 1851331441
  • Provider Enumeration Date: 06/08/2006
  • Last Update Date: 11/07/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 3678663895
  • Enrollment ID: I20071212000183

Medical Identifiers

Medical identifiers for James S Mallery such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851331441NPI-NPPES
834323300MedicaidMN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology 36617 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
University Of Minnesota Medical Center, FairviewMinneapolis, MNHospital
Fairview Lakes Health ServicesWyoming, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fairview Express Care33756451791523

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Medicare Reassignments

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Entity NamePark Nicollet Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780621904
PECOS PAC ID: 7911819438
Enrollment ID: O20031104000046

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Entity NameUniversity Of Minnesota Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477598118
PECOS PAC ID: 9830001189
Enrollment ID: O20031104000532

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Entity NameFairview Health Services
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PECOS PAC ID: 1951213057
Enrollment ID: O20031105000461

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Entity NameFairview Clinics
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346432218
PECOS PAC ID: 7113830142
Enrollment ID: O20031106000516

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Entity NameHealtheast Woodwinds Hospital
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PECOS PAC ID: 9638082563
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Entity NameFairview Express Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053952606
PECOS PAC ID: 3375645179
Enrollment ID: O20081028000548

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Entity NameUniversity Of Minnesota Health Clinics And Surgery Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053795187
PECOS PAC ID: 9133423304
Enrollment ID: O20160209000524

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. James S Mallery is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
James S Mallery, MD
6500 Excelsior Blvd Suite 4-820, Digestive And Endoscopy Center Methodist Hospital,
St Louis Park, MN 55426

Ph: (952) 993-3240
James S Mallery, MD
6500 Excelsior Blvd Suite 4-820, Digestive And Endoscopy Center Methodist Hospital,
St Louis Park, MN 55426

Ph: (952) 993-3240

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Internal Medicine Doctors in St Louis Park, MN

Cara Houle, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426
Phone: 952-993-5000    
Janet Grayson, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426
Phone: 952-993-6600    
Keith Harmon, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 6490 Excelsior Blvd, Suite W300, St Louis Park, MN 55426
Phone: 952-993-3242    
Jeffrey J Shultz,
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 6500 Excelsior Blvd, Park Nicollet Clinic - Heart & Vascular Center, St Louis Park, MN 55426
Phone: 952-993-3246    Fax: 952-993-3010
Amanda J Calvin, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 3931 Louisiana Ave S, St Louis Park, MN 55426
Phone: 952-993-3230    
Sarah Evert,
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 3850 Park Nicollet Blvd, St Louis Park, MN 55416
Phone: 952-993-3025    
Stevie Maxwell, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426
Phone: 952-993-5000    

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