Mrs Cynthia Catherine Wallace, PA is a medicare enrolled "Physician Assistant - Surgical" physician in Vero Beach, Florida. She went to Nova Southeastern College Of Osteo Medicine and graduated in 1998 and has 27 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Advanced Facial Cosmetic And Laser Surgery Center, Llc and her current practice location is
5070 Highway A1a Ste A, Vero Beach, Florida. You can reach out to her office (for appointments etc.) via phone at
(954) 531-9433.
Mrs Cynthia Catherine Wallace is licensed to practice in Florida (license number PA9114207) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1730596875.
Physician's Profile
| Full Name | Mrs Cynthia Catherine Wallace |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 27 Years |
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| Location | 5070 Highway A1a Ste A, Vero Beach, Florida |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Cynthia Catherine Wallace attended and graduated from Nova Southeastern College Of Osteo Medicine in 1998
NPI Data:
- NPI Number: 1730596875
- Provider Enumeration Date: 07/21/2014
- Last Update Date: 04/19/2023
Medicare PECOS Information:
- PECOS PAC ID: 8123331378
- Enrollment ID: I20230506000354
Medical Identifiers
Medical identifiers for Mrs Cynthia Catherine Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1730596875 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | C0005406 (Maryland) | Secondary |
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | PA9114207 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Advanced Facial Cosmetic And Laser Surgery Center, Llc | 0244414720 | 5 |
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. Mrs Cynthia Catherine 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 |
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Mrs Cynthia Catherine Wallace, PA
5070 Highway A1a Ste A,
Vero Beach, FL 32963-1229
Ph: (954) 531-9433 | Mrs Cynthia Catherine Wallace, PA
5070 Highway A1a Ste A,
Vero Beach, FL 32963-1229
Ph: (954) 531-9433 |
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