Ms Kyana Wallace, PA-C in New York, NY - Medicare Physician Assistant

Ms Kyana Wallace, PA-C is a medicare enrolled "Physician Assistant" in New York, New York. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice North Shore Lij Urgent Care Pc and her current practice location is 75 Broad St, New York, New York. You can reach out to her office (for appointments etc.) via phone at (877) 456-0369.

Ms Kyana Wallace is licensed to practice in New York (license number 051928-1) 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 1558611483.

Contact Information

	Ms Kyana Wallace, PA-C
	75 Broad St, New York, NY 10004-2415
	(877) 456-0369
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Kyana Wallace
Gender	Female
Speciality	Physician Assistant
Experience	5 Years
Location	75 Broad St, New York, New York
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 Kyana Wallace graduated from nursing school in 2019

NPI Data:

NPI Number: 1558611483
Provider Enumeration Date: 09/18/2012
Last Update Date: 09/20/2012

Medicare PECOS Information:

PECOS PAC ID: 1355579327
Enrollment ID: I20140121000799

Medical Identifiers

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

Identifier	Type	State	Issuer
1558611483	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	051928-1 (New York)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
North Shore Lij Urgent Care Pc	6002131778	312

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 Kyana 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 Kyana Wallace, PA-C 20 Coolidge Pl, Freeport, NY 11520-2543 Ph: (516) 477-8973	Ms Kyana Wallace, PA-C 75 Broad St, New York, NY 10004-2415 Ph: (877) 456-0369

Reviews and Comments

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Ms Kyana Wallace, PA-C - Medicare Physician Assistant in New York, NY