Prof Leah Gynell Wallace, PA-C in Madison, CT - Medicare Physician Assistant

Prof Leah Gynell Wallace, PA-C is a medicare enrolled "Physician Assistant" in Madison, Connecticut. She graduated from nursing school in 2012 and has 13 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Hartford Healthcare Urgent Care Centers Llc and her current practice location is 1347 Boston Post Rd, Suite 106, Madison, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 779-5207.

Prof Leah Gynell Wallace is licensed to practice in Connecticut (license number 002731) 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 1518233931.

Contact Information

	Prof Leah Gynell Wallace, PA-C
	1347 Boston Post Rd, Suite 106, Madison, CT 06443-3475
	(203) 779-5207
	(203) 779-5792

Map and Direction

Provider's Profile

Full Name	Prof Leah Gynell Wallace
Gender	Female
Speciality	Physician Assistant
Experience	13 Years
Location	1347 Boston Post Rd, Madison, Connecticut
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:

Prof Leah Gynell Wallace graduated from nursing school in 2012

NPI Data:

NPI Number: 1518233931
Provider Enumeration Date: 03/29/2012
Last Update Date: 02/25/2015

Medicare PECOS Information:

PECOS PAC ID: 1759542947
Enrollment ID: I20120416000319

Medical Identifiers

Medical identifiers for Prof Leah Gynell Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518233931	NPI	-	NPPES
008039969	Medicaid	CT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	002731 (Connecticut)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Hartford Healthcare Urgent Care Centers Llc	7618242777	161

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. Prof Leah Gynell 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
Prof Leah Gynell Wallace, PA-C 28 Crescent St, Suite 106, Middletown, CT 06457-3654 Ph: (860) 358-4820	Prof Leah Gynell Wallace, PA-C 1347 Boston Post Rd, Suite 106, Madison, CT 06443-3475 Ph: (203) 779-5207

Reviews and Comments

Physician Assistant Nurses in Madison, CT

Javier Motta, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 146 Samson Rock Dr, Madison, CT 06443 Phone: 203-318-8000
Sarah Orlando, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1347 Boston Post Rd, Madison, CT 06443 Phone: 203-779-5207 Fax: 203-779-5792
Larissa Magness Fopeano, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1291 Boston Post Rd Ste 105, Madison, CT 06443 Phone: 860-358-5100 Fax: 860-358-8655
Jessica L Paulson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1347 Boston Post Rd, Madison, CT 06443 Phone: 203-779-5207 Fax: 203-779-5792
Joseph M Slater, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1353 Boston Post Rd, Madison, CT 06443 Phone: 203-245-4933 Fax: 203-245-4399
Susanne L Scofield Hinton, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1291 Boston Post Rd Ste 105, Madison, CT 06443 Phone: 860-358-5100 Fax: 860-358-8655

Prof Leah Gynell Wallace, PA-C - Medicare Physician Assistant in Madison, CT