Colleen Wallace, | |
287 S Central Ave, Umatilla, FL 32784-8411 | |
(352) 747-0747 | |
Not Available |
Full Name | Colleen Wallace |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 4 Years |
Location | 287 S Central Ave, Umatilla, Florida |
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 |
---|---|---|---|
1992394423 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QA0505X | Family Medicine - Adult Medicine | 11011114 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Adventhealth Waterman | Tavares, FL | Hospital |
Entity Name | Wallace Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598356289 PECOS PAC ID: 9830504372 Enrollment ID: O20210216001830 |
Mailing Address | Practice Location Address |
---|---|
Colleen Wallace, Po Box 2485, Umatilla, FL 32784-2485 Ph: (352) 551-9404 | Colleen Wallace, 287 S Central Ave, Umatilla, FL 32784-8411 Ph: (352) 747-0747 |
Mrs. Vickie Sue Chapman, ARNP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 249 E Collins St, Umatilla, FL 32784 Phone: 352-589-6424 Fax: 352-589-6496 | |
Jose H Perez Suarez, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 249 E Collins St, Umatilla, FL 32784 Phone: 352-483-7984 Fax: 352-589-6496 | |
Robert A Martello, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 287 S Central Ave, Umatilla, FL 32784 Phone: 352-669-3161 Fax: 352-669-3855 | |
Gail J Dudley, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 287 S Central Ave, Umatilla, FL 32784 Phone: 352-669-3161 |