Matthew Alexander Wallace, PA | |
7497 Bernard Dr, Temperance, MI 48182-1552 | |
(616) 318-9649 | |
Not Available |
Full Name | Matthew Alexander Wallace |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Experience | 13 Years |
Location | 7497 Bernard Dr, Temperance, Michigan |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427321041 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
H Lee Moffitt Cancer Ctr And Res Inst Life Time Cancer Scrn Ctr Inc | 2264337021 | 936 |
Mailing Address | Practice Location Address |
---|---|
Matthew Alexander Wallace, PA 7497 Bernard Dr, Temperance, MI 48182-1552 Ph: (616) 318-9649 | Matthew Alexander Wallace, PA 7497 Bernard Dr, Temperance, MI 48182-1552 Ph: (616) 318-9649 |
Nicholas Richard Wilson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8765 Lewis Ave, Temperance, MI 48182 Phone: 734-847-3802 | |
Marissa Callicotte, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 8765 Lewis Ave, Temperance, MI 48182 Phone: 734-654-2169 | |
Mr. Edward Charles Follas, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 8765 Lewis Ave, Temperance, MI 48182 Phone: 734-847-3802 Fax: 734-847-3418 |