| Benjamin P Wallace, PA | |
|
3600 Nw Samaritan Drive, Suite 227, Corvallis, OR 97330-3737 | |
| (541) 768-5223 | |
| (541) 768-5014 |
| Full Name | Benjamin P Wallace |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 15 Years |
| Location | 3600 Nw Samaritan Drive, Corvallis, Oregon |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992936066 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mckay Dee Hospital | Ogden, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Intermountain Healthcare Services, Inc | 1850209420 | 3228 |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin P Wallace, PA 3600 Nw Samaritan Drive, Suite 227, Corvallis, OR 97330-3737 Ph: (541) 768-5223 | Benjamin P Wallace, PA 3600 Nw Samaritan Drive, Suite 227, Corvallis, OR 97330-3737 Ph: (541) 768-5223 |
Michael J Mccusker, P. A.-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 530 Nw 27th St, Corvallis, OR 97330 Phone: 541-766-6611 Fax: 541-766-6186 | |
Ms. Stacie Marie Fulcher, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 444 Nw Elks Drive, Corvallis, OR 97330 Phone: 541-754-1256 Fax: 360-597-1472 | |
Gregory Miller, Physician Assistant Medicare: Medicare Enrolled Practice Location: 3640 Nw Samaritan Dr Ste 100, Corvallis, OR 97330 Phone: 541-768-5205 | |
Taylor Frank, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3640 Nw Samaritan Dr Ste 120, Corvallis, OR 97330 Phone: 541-768-5223 | |
John Narciso Navarro, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3680 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-754-1150 | |
Beth Anne Rathbun, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 444 Nw Elks Dr, Corvallis, OR 97330 Phone: 541-754-1287 | |
Ms. Annemarie Boyd, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3680 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-754-1150 |