Mr Wallace D Cleveland Jr, PA-C in Fort Gordon, GA

Mr Wallace D Cleveland Jr, PA-C is a Physician Assistant based in Fort Gordon, Georgia. Mr Wallace D Cleveland Jr is licensed to practice in * (Not Available) (license number ) and his current practice location is 300 E Hospital Rd, Fort Gordon, Georgia. He can be reached at his office (for appointments etc.) via phone at (706) 787-7300.

NPI number for Mr Wallace D Cleveland Jr is 1821510033 and his current mailing address is 300 E Hospital Rd, Fort Gordon, Georgia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1821510033.

Contact Information

	Mr Wallace D Cleveland Jr, PA-C
	300 E Hospital Rd, Fort Gordon, GA 30905
	(706) 787-7300
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Wallace D Cleveland Jr
Gender	Male
Speciality	Physician Assistant
Location	300 E Hospital Rd, Fort Gordon, Georgia
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1821510033
Provider Enumeration Date: 07/10/2017
Last Update Date: 08/03/2023

Medical Identifiers

Medical identifiers for Mr Wallace D Cleveland Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821510033	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	(* (Not Available))	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. Mr Wallace D Cleveland Jr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Wallace D Cleveland Jr, PA-C 300 E Hospital Rd, Fort Gordon, GA 30905 Ph: (706) 787-7300	Mr Wallace D Cleveland Jr, PA-C 300 E Hospital Rd, Fort Gordon, GA 30905 Ph: (706) 787-7300

Reviews and Comments

Physician Assistant Nurses in Fort Gordon, GA

Mr. Gordon Andrew Marshall, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 300 West Hospital Road, Eisenhower Army Medical Center Attn Credentials, Fort Gordon, GA 30905 Phone: 706-787-2720 Fax: 706-787-8176
Mr. Nathan David Tavolieri, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 300 W Hospital Rd, Building 329, Fort Gordon, GA 30905 Phone: 706-787-3805
Mrs. Sunny Maria Holden, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 300 E Hospital Road, Building T-300, Eisenhower Army Med Center Orthopedic Surgery Dept, Fort Gordon, GA 30905 Phone: 706-787-6157 Fax: 706-787-2901
Ms. Maria Teresa Richard, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 300 W Hospital Rd, Fort Gordon, GA 30905 Phone: 706-727-2720 Fax: 706-787-8176
Mr. William James Nieding, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 300 East H, Dwight David Eisenhower Army Medical Center, Fort Gordon, GA 30905 Phone: 706-787-2862
Ms. Kim Nmn Walker, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 300 W Hospital Rd, Fort Gordon, GA 30905 Phone: 706-787-8020
Mr. George Timothy Cassidy, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 300 W Hospital Rd, Attn Credentials, Fort Gordon, GA 30905 Phone: 706-787-2720 Fax: 706-787-8176

Mr Wallace D Cleveland Jr, PA-C - Physician Assistant in Fort Gordon, GA