Claire Wallace, MD | |
2054 Sycamore Ave, Buena Vista, VA 24416-3124 | |
(540) 261-1315 | |
(540) 261-1314 |
Full Name | Claire Wallace |
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Gender | Female |
Speciality | Family Medicine |
Location | 2054 Sycamore Ave, Buena Vista, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770922254 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 29915 (Oklahoma) | Secondary |
207Q00000X | Family Medicine | 0101260575 (Virginia) | Primary |
Entity Name | Augusta Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245489590 PECOS PAC ID: 3678632544 Enrollment ID: O20081106000590 |
Mailing Address | Practice Location Address |
---|---|
Claire Wallace, MD Po Box 388, Fishersville, VA 22939-0388 Ph: () - | Claire Wallace, MD 2054 Sycamore Ave, Buena Vista, VA 24416-3124 Ph: (540) 261-1315 |
Barbara Joy Trandel, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2252 Magnolia Ave, Buena Vista, VA 24416 Phone: 540-261-7421 Fax: 540-261-1952 | |
Thomas Francis Hamilton, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2252 Magnolia Ave, Buena Vista, VA 24416 Phone: 540-261-7421 Fax: 540-261-1952 | |
Dr. George C. Wortley, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2252 Magnolia Ave, Buena Vista, VA 24416 Phone: 540-261-7421 Fax: 540-261-1952 |