| Ms Micah R Wallace, PA-C | |
|
100 Excela Health Dr Ste 102, Latrobe, PA 15650-9001 | |
| (724) 804-1760 | |
| (724) 804-1762 |
| Full Name | Ms Micah R Wallace |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 14 Years |
| Location | 100 Excela Health Dr Ste 102, Latrobe, Pennsylvania |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588946214 | NPI | - | NPPES |
| 103167119 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | MA054581 (Pennsylvania) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Excela Health Physician Practices, Inc | 6204737117 | 423 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Micah R Wallace, PA-C 520 Jefferson Ave, Suite 400, Jeannette, PA 15644-2538 Ph: (724) 527-8060 | Ms Micah R Wallace, PA-C 100 Excela Health Dr Ste 102, Latrobe, PA 15650-9001 Ph: (724) 804-1760 |
Mrs. Patricia M Lesser, MEDICAL PHYSICIAN Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 911 Ligonier Street, Suite 205, Latrobe, PA 15650 Phone: 724-532-2322 Fax: 724-532-2405 | |
Leah Marie Fontana, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 555 State Route 217, Suite 1, Latrobe, PA 15650 Phone: 724-694-2723 Fax: 724-694-8833 | |
Mary C Allias, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 121 W 2nd Ave, Latrobe, PA 15650 Phone: 724-832-4626 Fax: 724-832-4668 | |
Alana M Headings, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Mellon Way, Latrobe, PA 15650 Phone: 724-539-3555 Fax: 724-539-1966 | |
Jarrett Seth Dorazio, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 108 Horner Ln, Latrobe, PA 15650 Phone: 724-537-2131 | |
Mrs. Emily Rose Hegemann, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5840 Route 981, Suite 101, Latrobe, PA 15650 Phone: 724-532-1118 | |
David A Majiros, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 911 Ligonier St, Suite 003, Latrobe, PA 15650 Phone: 724-537-9010 Fax: 724-537-9013 |