Stephanie Celeste Wallace, PA-C in Vista, CA - Medicare Physician Assistant

Stephanie Celeste Wallace, PA-C is a medicare enrolled "Physician Assistant" in Vista, California. Her current practice location is 1000 Vale Terrace Dr, Vista, California. You can reach out to her office (for appointments etc.) via phone at (760) 631-5000.

Stephanie Celeste Wallace is licensed to practice in California (license number PA19629) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1518104942.

Contact Information

	Stephanie Celeste Wallace, PA-C
	1000 Vale Terrace Dr, Vista, CA 92084-5218
	(760) 631-5000
	(760) 414-3892

Map and Direction

Provider's Profile

Full Name	Stephanie Celeste Wallace
Gender	Female
Speciality	Physician Assistant
Location	1000 Vale Terrace Dr, Vista, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518104942
Provider Enumeration Date: 01/07/2009
Last Update Date: 09/13/2010

Medicare PECOS Information:

PECOS PAC ID: 1456547637
Enrollment ID: I20101130000906

Medical Identifiers

Medical identifiers for Stephanie Celeste Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518104942	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA19629 (California)	Primary

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. Stephanie Celeste 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
Stephanie Celeste Wallace, PA-C 1000 Vale Terrace Dr, Vista, CA 92084-5218 Ph: (760) 631-5000	Stephanie Celeste Wallace, PA-C 1000 Vale Terrace Dr, Vista, CA 92084-5218 Ph: (760) 631-5000

Reviews and Comments

Physician Assistant Nurses in Vista, CA

Abbie Epley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 130 Cedar Rd, Vista, CA 92083 Phone: 760-806-5500
Megan Hogg, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 969 S Santa Fe Ave # A, Vista, CA 92083 Phone: 760-941-7050 Fax: 760-941-7142
Mr. Steve Keith Phillips, PA-S Physician Assistant Medicare: Medicare Enrolled Practice Location: 2243 Green Hills Way, Vista, CA 92084 Phone: 760-458-9413
Ms. Paula Sorrentino, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 145 Thunder Dr, Vista, CA 92083 Phone: 760-630-5487 Fax: 760-630-2558
April Hebard Weaver, MPA, P.A-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1000 Vale Terrace Dr, Vista, CA 92084 Phone: 760-631-5000 Fax: 760-414-3713
Elise Jordan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 910 Sycamore Ave Ste 270, Vista, CA 92081 Phone: 760-598-1776
Morgan Elizabeth O'brien, MS, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 145 Thunder Dr, Vista, CA 92083 Phone: 760-941-9002

Stephanie Celeste Wallace, PA-C - Medicare Physician Assistant in Vista, CA