Ms Donetta Wallace, PA-C in Paintsville, KY - Medicare Physician Assistant

Ms Donetta Wallace, PA-C is a medicare enrolled "Physician Assistant" in Paintsville, Kentucky. She graduated from nursing school in 1999 and has 25 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Ashland Hospital Corporation and her current practice location is 336 N Mayo Trl, Paintsville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (606) 789-8666.

Ms Donetta Wallace is licensed to practice in Kentucky (license number PA544) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1417958828.

Contact Information

	Ms Donetta Wallace, PA-C
	336 N Mayo Trl, Paintsville, KY 41240-1804
	(606) 789-8666
	(606) 788-0253

Map and Direction

Provider's Profile

Full Name	Ms Donetta Wallace
Gender	Female
Speciality	Physician Assistant
Experience	25 Years
Location	336 N Mayo Trl, Paintsville, Kentucky
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Donetta Wallace graduated from nursing school in 1999

NPI Data:

NPI Number: 1417958828
Provider Enumeration Date: 08/09/2005
Last Update Date: 02/01/2022

Medicare PECOS Information:

PECOS PAC ID: 7113813130
Enrollment ID: I20040226000281

Medical Identifiers

Medical identifiers for Ms Donetta Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417958828	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	PA544 (Kentucky)	Secondary
363A00000X	Physician Assistant	PA544 (Kentucky)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
King's Daughters' Medical Center	Ashland, KY	Hospital
Paul B Hall Regional Medical Center	Paintsville, KY	Hospital
Highlands Arh Regional Medical Center	Prestonsburg, KY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ashland Hospital Corporation	7719882521	150

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. Ms Donetta 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
Ms Donetta Wallace, PA-C Po Box 2379, Ashland, KY 41105-2379 Ph: (606) 408-9571	Ms Donetta Wallace, PA-C 336 N Mayo Trl, Paintsville, KY 41240-1804 Ph: (606) 789-8666

Reviews and Comments

Physician Assistant Nurses in Paintsville, KY

Kenzie Nicole Hammond, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 450 S Mayo Trl, Paintsville, KY 41240 Phone: 606-887-6145 Fax: 844-464-1174
Kelley D Cochran, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 607 S Mayo Trl Ste B, Paintsville, KY 41240 Phone: 606-789-6464 Fax: 606-789-6466
Joseph A. Isaac, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 625 James S. Trimble Blvd., Paintsville, KY 41240 Phone: 606-789-3511 Fax: 606-789-1432
Loretta P Belhasen, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 838 S Mayo Trl, Paintsville, KY 41240 Phone: 606-789-8749 Fax: 606-789-2060

Ms Donetta Wallace, PA-C - Medicare Physician Assistant in Paintsville, KY