| Brian J Wallace, PA | |
|
325 Princeton Ave, Princeton, NJ 08540-1617 | |
| (609) 924-8131 | |
| (609) 924-8532 |
| Full Name | Brian J Wallace |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 19 Years |
| Location | 325 Princeton Ave, Princeton, New Jersey |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427248350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 25MP00183300 (New Jersey) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Penn Medicine Princeton Medical Center | Plainsboro, NJ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Clinical Health Care Associates Of New Jersey Pc | 0749180198 | 793 |
| Entity Name | Clinical Health Care Associates of New Jersey PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447260435 PECOS PAC ID: 0749180198 Enrollment ID: O20040421001473 |
| Entity Name | Princeton Healthcare Affiliated Physicians PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518194323 PECOS PAC ID: 2567598022 Enrollment ID: O20100413000141 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian J Wallace, PA 325 Princeton Ave, Princeton, NJ 08540-1617 Ph: (609) 924-8131 | Brian J Wallace, PA 325 Princeton Ave, Princeton, NJ 08540-1617 Ph: (609) 924-8131 |
Marcelle S. Zebuhr, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 325 Princeton Ave, Princeton, NJ 08540 Phone: 609-924-8131 Fax: 609-683-7559 |
Alexandra Gaudio, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 325 Princeton Ave, Princeton, NJ 08540 Phone: 609-924-8131 Fax: 609-924-8532 |
Priya Patel, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 613 Executive Dr, Princeton, NJ 08540 Phone: 908-922-6625 |
Sweta Goradia, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 253 Witherspoon Street, Princeton, NJ 08540 Phone: 609-497-3000 Fax: 609-683-6807 |
Kayla Lodge, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 325 Princeton Ave, Princeton, NJ 08540 Phone: 609-924-8131 Fax: 609-924-8532 |
Natasha Crespo, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 325 Princeton Ave, Princeton, NJ 08540 Phone: 609-924-8131 Fax: 609-924-8532 |
Mr. Joseph Harold Thornton, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: Princeton University Health, Mccosh Health Center, Princeton, NJ 08544 Phone: 609-258-3141 Fax: 609-258-1355 |