Colleen Rae Wallis, PAC in Hibbing, MN - Medicare Physician Assistant

Colleen Rae Wallis, PAC is a medicare enrolled "Physician Assistant" in Hibbing, Minnesota. She graduated from nursing school in 1997 and has 27 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Range Regional Health Services and her current practice location is 3605 Mayfair Ave, Hibbing, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 262-3441.

Colleen Rae Wallis is licensed to practice in Minnesota (license number R 1069736) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1922066117.

Contact Information

	Colleen Rae Wallis, PAC
	3605 Mayfair Ave, Hibbing, MN 55746-2923
	(218) 262-3441
	(218) 362-6989

Map and Direction

Provider's Profile

Full Name	Colleen Rae Wallis
Gender	Female
Speciality	Physician Assistant
Experience	27 Years
Location	3605 Mayfair Ave, Hibbing, Minnesota
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Colleen Rae Wallis graduated from nursing school in 1997

NPI Data:

NPI Number: 1922066117
Provider Enumeration Date: 05/04/2006
Last Update Date: 07/11/2013

Medicare PECOS Information:

PECOS PAC ID: 0042298168
Enrollment ID: I20040713001279

Medical Identifiers

Medical identifiers for Colleen Rae Wallis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922066117	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	R 1069736 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Healthline Homecare	Hibbing, MN	Home health agency
Recover Health	Hibbing, MN	Home health agency
University Medical Center-mesabi/ Mesaba Clinics	Hibbing, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Range Regional Health Services	8022920024	130

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. Colleen Rae Wallis 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
Colleen Rae Wallis, PAC 3605 Mayfair Ave, Hibbing, MN 55746-2923 Ph: (218) 262-3441	Colleen Rae Wallis, PAC 3605 Mayfair Ave, Hibbing, MN 55746-2923 Ph: (218) 262-3441

Reviews and Comments

Physician Assistant Nurses in Hibbing, MN

Tyler Joseph Harvey, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3605 Mayfair Ave, Mesaba Clinic, Hibbing, MN 55746 Phone: 218-362-6343
Kathryn J Clusiau, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 3605 Mayfair Ave, Hibbing, MN 55746 Phone: 218-362-6975 Fax: 218-362-6989
Tara Marie Ruud, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3605 Mayfair Ave, Mesaba Clinics- Fairview, Hibbing, MN 55746 Phone: 218-262-3441

Colleen Rae Wallis, PAC - Medicare Physician Assistant in Hibbing, MN