Sara Grace Wallin, PA-C is a medicare enrolled "Physician Assistant" physician in Pembroke Pines, Florida. Her current practice location is
600 N Hiatus Rd, Pembroke Pines, Florida. You can reach out to her office (for appointments etc.) via phone at
(954) 526-6378.
Sara Grace Wallin is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1053903294.
Physician's Profile
Full Name | Sara Grace Wallin |
---|
Gender | Female |
---|
Speciality | Physician Assistant |
---|
Location | 600 N Hiatus Rd, Pembroke Pines, Florida |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1053903294
- Provider Enumeration Date: 02/09/2021
- Last Update Date: 12/22/2022
Medicare PECOS Information:
- PECOS PAC ID: 3779946710
- Enrollment ID: I20230824000367
Medical Identifiers
Medical identifiers for Sara Grace Wallin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053903294 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | PA9114066 (Florida) | Secondary |
363A00000X | Physician Assistant | (* (Not Available)) | Primary |
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. Sara Grace Wallin 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 Address | Practice Location Address |
Sara Grace Wallin, PA-C 600 N Hiatus Rd, Pembroke Pines, FL 33026-5207 Ph: () - | Sara Grace Wallin, PA-C 600 N Hiatus Rd, Pembroke Pines, FL 33026-5207 Ph: (954) 526-6378 |
Reviews and Comments