Mr Trevor J Wallace, PA-C in Marietta, GA - Medicare Physician Assistant

Mr Trevor J Wallace, PA-C is a medicare enrolled "Physician Assistant" in Marietta, Georgia. He graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Resurgens, Llc and his current practice location is 61 Whitcher St Ne, Suite 1100, Marietta, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 422-3290.

Mr Trevor J Wallace is licensed to practice in Georgia (license number 8236) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1396281200.

Contact Information

	Mr Trevor J Wallace, PA-C
	61 Whitcher St Ne, Suite 1100, Marietta, GA 30060-1176
	(770) 422-3290
	(770) 422-0287

Map and Direction

Provider's Profile

Full Name	Mr Trevor J Wallace
Gender	Male
Speciality	Physician Assistant
Experience	8 Years
Location	61 Whitcher St Ne, Marietta, Georgia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Trevor J Wallace graduated from nursing school in 2016

NPI Data:

NPI Number: 1396281200
Provider Enumeration Date: 01/17/2017
Last Update Date: 03/27/2017

Medicare PECOS Information:

PECOS PAC ID: 2961787239
Enrollment ID: I20170329000692

Medical Identifiers

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

Identifier	Type	State	Issuer
1396281200	NPI	-	NPPES
003185899A	Medicaid	GA
003185899C	Medicaid	GA
003185899B	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	8236 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Wellstar Kennestone Hospital	Marietta, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Resurgens, Llc	1153224142	148

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 Trevor 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
Mr Trevor J Wallace, PA-C 61 Whitcher St Ne, Suite 1100, Marietta, GA 30060-1176 Ph: (770) 422-3290	Mr Trevor J Wallace, PA-C 61 Whitcher St Ne, Suite 1100, Marietta, GA 30060-1176 Ph: (770) 422-3290

Reviews and Comments

Physician Assistant Nurses in Marietta, GA

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Mr Trevor J Wallace, PA-C - Medicare Physician Assistant in Marietta, GA