Laurie J Wallace, RPA-C in Miller Place, NY - Medicare Physician Assistant

Laurie J Wallace, RPA-C is a medicare enrolled "Physician Assistant" in Miller Place, New York. She graduated from nursing school in 1998 and has 26 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Caremed Primary And Urgent Care Pc and her current practice location is 765 Route 25a Ste 6, Miller Place, New York. You can reach out to her office (for appointments etc.) via phone at (631) 320-3200.

Laurie J Wallace is licensed to practice in New York (license number 006630-1) 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 1326261579.

Contact Information

	Laurie J Wallace, RPA-C
	765 Route 25a Ste 6, Miller Place, NY 11764-2649
	(631) 320-3200
	Not Available

Map and Direction

Provider's Profile

Full Name	Laurie J Wallace
Gender	Female
Speciality	Physician Assistant
Experience	26 Years
Location	765 Route 25a Ste 6, Miller Place, New York
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:

Laurie J Wallace graduated from nursing school in 1998

NPI Data:

NPI Number: 1326261579
Provider Enumeration Date: 04/10/2007
Last Update Date: 11/10/2021

Medicare PECOS Information:

PECOS PAC ID: 9133436934
Enrollment ID: I20150910002259

Medical Identifiers

Medical identifiers for Laurie J Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326261579	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	006630-1 (New York)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Caremed Primary And Urgent Care Pc	8224353727	17

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. Laurie J 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 Address	Practice Location Address
Laurie J Wallace, RPA-C 1 E Roe Blvd, Patchogue, NY 11772-2631 Ph: (631) 475-3900	Laurie J Wallace, RPA-C 765 Route 25a Ste 6, Miller Place, NY 11764-2649 Ph: (631) 320-3200

Reviews and Comments

Physician Assistant Nurses in Miller Place, NY

Kelsey Waisanen, Physician Assistant Medicare: Medicare Enrolled Practice Location: 111 Sylvan Ave, Miller Place, NY 11764 Phone: 631-928-4888
Kristina Zuzzolo, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 555 Route 25a, Miller Place, NY 11764 Phone: 631-744-6666 Fax: 631-744-0525
Mr. Daniel R. Raio, RPA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 148 Natures Ln, Miller Place, NY 11764 Phone: 631-636-6888 Fax: 631-209-5129
Yama Qaderi, P.A Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 292 Parkside Ave, Miller Place, NY 11764 Phone: 631-849-5281
Mr. Justin Lloyd Fink, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 148 Natures Ln, Miller Place, NY 11764 Phone: 631-636-6888 Fax: 631-209-5129
Kristina Joan Denenkamp, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 38 Manor Dr, Miller Place, NY 11764 Phone: 631-681-9789

Laurie J Wallace, RPA-C - Medicare Physician Assistant in Miller Place, NY