Jamie Wallace, NP | |
110 W Utica St, Oswego, NY 13126-3047 | |
(315) 668-1202 | |
Not Available |
Full Name | Jamie Wallace |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 110 W Utica St, Oswego, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104608595 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 353514 (New York) | Primary |
Entity Name | Physician Care Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073868113 PECOS PAC ID: 9032367453 Enrollment ID: O20120910000593 |
Mailing Address | Practice Location Address |
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Jamie Wallace, NP 110 W Utica St, Oswego, NY 13126-3047 Ph: (315) 668-1202 | Jamie Wallace, NP 110 W Utica St, Oswego, NY 13126-3047 Ph: (315) 668-1202 |
Susan P. Nalle, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10 George St, Oswego, NY 13126 Phone: 315-342-0888 Fax: 315-343-4663 | |
Miss Tammy Elizabeth Engle, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 110 W 6th St, Oswego, NY 13126 Phone: 315-349-5511 | |
Angela M Brown, MS, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Rudloph Rd, Oswego, NY 13126 Phone: 315-312-4100 | |
Ms. Sandra Ford, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 299 E River Rd, Oswego, NY 13126 Phone: 315-342-3166 Fax: 315-343-6531 | |
Tricia R Vivlamore, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7060 State Route 104, Suny Oswego, Oswego, NY 13126 Phone: 315-312-4100 Fax: 315-312-5409 | |
Mrs. Victoria Arthur, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 29 E Cayuga St, Oswego, NY 13126 Phone: 315-326-4100 |