| Miata Wallace, PA | |
|
1500 S 58th St Ste 800, Lincoln, NE 68506-1407 | |
| (402) 483-8600 | |
| (402) 483-8689 |
| Full Name | Miata Wallace |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 2 Years |
| Location | 1500 S 58th St Ste 800, Lincoln, Nebraska |
| 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 |
|---|---|---|---|
| 1013656990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 2760 (Nebraska) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bryan Medical Center | Lincoln, NE | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Nebraska Pulmonary Specialties Llc | 3072412881 | 29 |
| Mailing Address | Practice Location Address |
|---|---|
| Miata Wallace, PA 1500 S 58th St Ste 800, Lincoln, NE 68506-1407 Ph: (402) 483-8600 | Miata Wallace, PA 1500 S 58th St Ste 800, Lincoln, NE 68506-1407 Ph: (402) 483-8600 |
Christina Kay Meyer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6969 South St, Lincoln, NE 68506 Phone: 402-413-7460 Fax: 402-413-7486 | |
Mr. Gabriel Jefferson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5000 N 26th St, Suite 100, Lincoln, NE 68521 Phone: 402-435-5300 | |
Mrs. Sharon E Spethman, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1500 U St, Lincoln, NE 68588 Phone: 402-472-5000 Fax: 402-472-8010 | |
Andre N Orduna, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1500 S 48th St Ste 400, Lincoln, NE 68506 Phone: 402-481-8500 Fax: 402-483-3297 | |
Jacklynn A Kment, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1620 S 70th St Ste 103, Lincoln, NE 68506 Phone: 402-318-3550 Fax: 402-318-3546 | |
Mrs. Catherine M Bateman, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4545 R St, Suite 100, Lincoln, NE 68503 Phone: 402-465-4545 Fax: 402-465-9011 | |
Michael Krage Kowalke, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6900 A St, Ste 100, Lincoln, NE 68510 Phone: 402-436-2000 |