Dr Cynthia Kay Wallace, MD | |
1959 Ne Pacific Street Box 356423, Seattle, WA 98195-2223 | |
(919) 259-4678 | |
Not Available |
Full Name | Dr Cynthia Kay Wallace |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 19 Years |
Location | 1959 Ne Pacific Street Box 356423, Seattle, Washington |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235305889 | NPI | - | NPPES |
Facility Name | Location | Facility Type |
---|---|---|
Kaiser Foundation Hospital - Fresno | Fresno, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Permanente Medical Group Inc | 8921910225 | 8376 |
Entity Name | Permanente Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Dr Cynthia Kay Wallace, MD 19425 Tollhouse Rd, Clovis, CA 93619-9758 Ph: () - | Dr Cynthia Kay Wallace, MD 1959 Ne Pacific Street Box 356423, Seattle, WA 98195-2223 Ph: (919) 259-4678 |
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