Somer Wallace, APRN | |
726 Wick Ave, Youngstown, OH 44505-2827 | |
(330) 747-9551 | |
Not Available |
Full Name | Somer Wallace |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 726 Wick Ave, Youngstown, Ohio |
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 |
---|---|---|---|
1992284731 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 023451 (Ohio) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ohio Living Palliative Care Greater Toledo Llc | 3476803594 | 9 |
Entity Name | Ohio North East Health Systems Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700917267 PECOS PAC ID: 1951395086 Enrollment ID: O20131028001143 |
Entity Name | Ohio Living Palliative Care Greater Toledo Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861981656 PECOS PAC ID: 3476803594 Enrollment ID: O20180911000364 |
Mailing Address | Practice Location Address |
---|---|
Somer Wallace, APRN 5611 Glenwood Ave, Youngstown, OH 44512-2556 Ph: (330) 651-4041 | Somer Wallace, APRN 726 Wick Ave, Youngstown, OH 44505-2827 Ph: (330) 747-9551 |
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