Jennifer M Wallace, PA-C | |
603 7th St S, Ste 540, St Petersburg, FL 33701-4719 | |
(727) 553-7550 | |
(727) 553-7547 |
Full Name | Jennifer M Wallace |
---|---|
Gender | Female |
Speciality | Physician Assistant |
Experience | 17 Years |
Location | 603 7th St S, St Petersburg, Florida |
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 |
---|---|---|---|
1972791747 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | PA9104356 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Anthonys Hospital | Saint petersburg, FL | Hospital |
Bayfront Health - St Petersburg | Saint petersburg, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Neurosurgical Associates Of Tampa Bay Inc | 3779536685 | 6 |
Mailing Address | Practice Location Address |
---|---|
Jennifer M Wallace, PA-C 2995 Drew St Fl 2, Clearwater, FL 33759-3012 Ph: (727) 315-7496 | Jennifer M Wallace, PA-C 603 7th St S, Ste 540, St Petersburg, FL 33701-4719 Ph: (727) 553-7550 |
Mr. Imtiaz Haroon Memon, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6000 49th St N, St. Petersburg, St Petersburg, FL 33709 Phone: 727-521-5510 | |
Kristin Marie Paul Smith, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 5939 27th Ter N, St Petersburg, FL 33710 Phone: 651-895-6930 | |
Gulnar Samreen Memon, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 6000 49th St N, St Petersburg, FL 33709 Phone: 727-521-5510 | |
Daniela Quintana, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 620 10th St N, St Petersburg, FL 33705 Phone: 727-824-8243 Fax: 727-824-8233 | |
Whitney L. Clowney, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 601 7th St S, St Petersburg, FL 33701 Phone: 727-824-7132 Fax: 727-824-7133 | |
Heather Shimoji Barkov, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4226 Central Ave, St Petersburg, FL 33711 Phone: 727-321-3915 | |
Melissa M. Bunce, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 3404 26th Ave S, St Petersburg, FL 33711 Phone: 727-318-6880 Fax: 727-321-0890 |