| Madeline Wallace, PA-C | |
|
2930 11th Ave, Evans, CO 80620-1011 | |
| (970) 353-9403 | |
| Not Available |
| Full Name | Madeline Wallace |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 2930 11th Ave, Evans, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649854456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 6761 (Colorado) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Madeline Wallace, PA-C 2930 11th Ave, Evans, CO 80620-1011 Ph: (970) 353-9403 | Madeline Wallace, PA-C 2930 11th Ave, Evans, CO 80620-1011 Ph: (970) 353-9403 |
Felicia Marie Doherty, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2930 11th Ave, Evans, CO 80620 Phone: 970-353-9403 Fax: 970-350-4692 | |
Hannah Constantin, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2930 11th Ave, Evans, CO 80620 Phone: 970-353-9403 Fax: 970-350-4645 | |
Justin Frazier, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2930 11th Ave, Evans, CO 80620 Phone: 970-353-9403 Fax: 970-353-5884 | |
Hannah Elizabeth Sellnow, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2930 11th Ave, Evans, CO 80620 Phone: 720-353-9403 Fax: 970-353-4645 | |
Ms. Hannah Olson, Physician Assistant Medicare: Medicare Enrolled Practice Location: 2930 11th Ave, Evans, CO 80620 Phone: 970-353-9403 Fax: 970-353-5884 | |
David James Sosa, Physician Assistant Medicare: Medicare Enrolled Practice Location: 2930 11th Ave, Evans, CO 80620 Phone: 324-340-7246 Fax: 970-353-5884 | |
Brittany Elizabeth Driscoll, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2930 11th Ave, Evans, CO 80620 Phone: 970-353-9403 Fax: 970-350-4645 |