Mr Theodore William Wallace, PA-C in Tacoma, WA

Mr Theodore William Wallace, PA-C is a Physician Assistant based in Tacoma, Washington. Mr Theodore William Wallace is licensed to practice in Washington (license number PA100003556) and his current practice location is Madigan Army Medical Ctr, 9040a Fitzsimmons Dr, Tacoma, Washington. He can be reached at his office (for appointments etc.) via phone at (253) 968-5161.

NPI number for Mr Theodore William Wallace is 1609931393 and his current mailing address is 6317 63rd St W, University Place, Washington. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1609931393.

Contact Information

	Mr Theodore William Wallace, PA-C
	Madigan Army Medical Ctr, 9040a Fitzsimmons Dr, Tacoma, WA 98431-0001
	(253) 968-5161
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Theodore William Wallace
Gender	Male
Speciality	Physician Assistant
Location	Madigan Army Medical Ctr, Tacoma, Washington
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1609931393
Provider Enumeration Date: 12/25/2006
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr Theodore William Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609931393	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA100003556 (Washington)	Primary

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. Mr Theodore William Wallace is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Theodore William Wallace, PA-C 6317 63rd St W, University Place, WA 98467-4945 Ph: () -	Mr Theodore William Wallace, PA-C Madigan Army Medical Ctr, 9040a Fitzsimmons Dr, Tacoma, WA 98431-0001 Ph: (253) 968-5161

Reviews and Comments

Physician Assistant Nurses in Tacoma, WA

Mr. Shi Chian Khor, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 315 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-403-7537 Fax: 253-403-4576
Alexandra Cornwall, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 209 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-596-3300
Mr. Christopher R Walsh, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 209 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-596-3300
Grant Alexander Yelliott Ii, PA C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1717 S J St, Tacoma, WA 98405 Phone: 253-426-6660 Fax: 253-426-6250
Margaret Mary Fahy, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-0432
Mr. Clay Randles, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-1110
Mr. Sheldon Burdell Watson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: Madigan Army Medical Center/okubo Clinic, 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-966-7546

Mr Theodore William Wallace, PA-C - Physician Assistant in Tacoma, WA