| Dr Jill Amy Wallace-ross, DO | |
|
3200 S. University Drive, Sanford L. Ziff Bldg., Ft. Lauderdale, FL 33328-2018 | |
| (954) 262-4100 | |
| (954) 262-2271 |
| Full Name | Dr Jill Amy Wallace-ross |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 19 Years |
| Location | 3200 S. University Drive, Ft. Lauderdale, 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 |
|---|---|---|---|
| 1770722043 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS10880 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Nova Southeastern University Inc | 4486568896 | 101 |
| Entity Name | Nova Southeastern University Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700924511 PECOS PAC ID: 4486568896 Enrollment ID: O20031118000987 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jill Amy Wallace-ross, DO 3200 S. University Drive, Assembly Bldg. # 2 Room 202, Ft. Lauderdale, FL 33328-2018 Ph: (954) 262-4343 | Dr Jill Amy Wallace-ross, DO 3200 S. University Drive, Sanford L. Ziff Bldg., Ft. Lauderdale, FL 33328-2018 Ph: (954) 262-4100 |
Dr. Paula L. Anderson-worts, D.O., M.P.H. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3200 S. University Drive, Ft. Lauderdale, FL 33328 Phone: 954-262-4100 Fax: 954-262-3765 | |
Robert S. Oller, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3200 S. Universit Drive, Sanford L. Ziff Bldg., Ft. Lauderdale, FL 33328 Phone: 954-262-4100 Fax: 954-262-2271 |