Jennifer M Wallace, PA-C - Medicare Physician Assistant in St Petersburg, FL

Jennifer M Wallace, PA-C is a medicare enrolled "Physician Assistant" in St Petersburg, Florida. She graduated from nursing school in 2007 and has 17 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Neurosurgical Associates Of Tampa Bay Inc and her current practice location is 603 7th St S, Ste 540, St Petersburg, Florida. You can reach out to her office (for appointments etc.) via phone at (727) 553-7550.

Jennifer M Wallace is licensed to practice in Florida (license number PA9104356) 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 1972791747.

Contact Information

Jennifer M Wallace, PA-C
603 7th St S, Ste 540,
St Petersburg, FL 33701-4719
(727) 553-7550
(727) 553-7547

Map and Direction




Provider's Profile

Full NameJennifer M Wallace
GenderFemale
SpecialityPhysician Assistant
Experience17 Years
Location603 7th St S, St Petersburg, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jennifer M Wallace graduated from nursing school in 2007
  NPI Data:
  • NPI Number: 1972791747
  • Provider Enumeration Date: 10/05/2007
  • Last Update Date: 09/07/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5496844250
  • Enrollment ID: I20071130000405

Medical Identifiers

Medical identifiers for Jennifer M Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972791747NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA9104356 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Anthonys HospitalSaint petersburg, FLHospital
Bayfront Health - St PetersburgSaint petersburg, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Neurosurgical Associates Of Tampa Bay Inc37795366856

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. Jennifer M Wallace 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 AddressPractice 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

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.