Mrs Deanna Elena Wallace, PA-C in Sugar Land, TX

Mrs Deanna Elena Wallace, PA-C is a medicare enrolled "Physician Assistant - Medical" in Sugar Land, Texas. Her current practice location is 7616 Branford Pl Ste 320, Sugar Land, Texas. You can reach out to her office (for appointments etc.) via phone at (819) 801-7422.

Mrs Deanna Elena Wallace is licensed to practice in Texas (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1861631004.

Contact Information

	Mrs Deanna Elena Wallace, PA-C
	7616 Branford Pl Ste 320, Sugar Land, TX 77479-3794
	(819) 801-7422
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Deanna Elena Wallace
Gender	Female
Speciality	Physician Assistant - Medical
Location	7616 Branford Pl Ste 320, Sugar Land, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861631004
Provider Enumeration Date: 02/11/2009
Last Update Date: 07/28/2021

Medicare PECOS Information:

PECOS PAC ID: 9032269923
Enrollment ID: I20090616000137

Medical Identifiers

Medical identifiers for Mrs Deanna Elena Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861631004	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	(Texas)	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. Mrs Deanna Elena 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
Mrs Deanna Elena Wallace, PA-C 12553 Gulf Fwy, Houston, TX 77034-4509 Ph: (281) 481-8557	Mrs Deanna Elena Wallace, PA-C 7616 Branford Pl Ste 320, Sugar Land, TX 77479-3794 Ph: (819) 801-7422

Reviews and Comments

Physician Assistant Nurses in Sugar Land, TX

Krista Lincoln, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1 Sugar Creek Center Blvd Ste 618, Sugar Land, TX 77478 Phone: 800-936-0074
Lukman O Telufusi, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 19900 Southwest Fwy, Sugar Land, TX 77479 Phone: 281-341-8330
Micah Van Yperen, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 17510 W Grand Pkwy S Ste 490, Sugar Land, TX 77479 Phone: 713-772-1200
Christina M Placker, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 16811 Southwest Fwy, Sugar Land, TX 77479 Phone: 281-690-4678 Fax: 281-565-8808
Karl Dawyuan Yu, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 1211 Highway 6, Suite 40, Sugar Land, TX 77478 Phone: 281-494-7773 Fax: 281-494-7399
Tina T Elackatt, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4690 Sweetwater Blvd, Suite 200, Sugar Land, TX 77479 Phone: 281-565-0033 Fax: 281-565-0568
Lin Yang, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Sugar Creek Center Blvd Ste 618, Sugar Land, TX 77478 Phone: 832-655-4141 Fax: 713-457-5188

Mrs Deanna Elena Wallace, PA-C - Medicare Physician Assistant in Sugar Land, TX