| Jennifer Jane Wallace, PA | |
|
101 Page St, New Bedford, MA 02740-3464 | |
| (508) 992-7994 | |
| Not Available |
| Full Name | Jennifer Jane Wallace |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 101 Page St, New Bedford, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548283336 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 1992 (Massachusetts) | Primary |
| Entity Name | Steward Emergency Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780971275 PECOS PAC ID: 0244401404 Enrollment ID: O20110919000768 |
| Entity Name | Associated Physicians of Harvard Medical Faculty Physicians at Beth Is |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952358533 PECOS PAC ID: 6305749987 Enrollment ID: O20130606000720 |
| Entity Name | Crausman Medical Associates LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457093742 PECOS PAC ID: 0941689376 Enrollment ID: O20220615001539 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Jane Wallace, PA 101 Page St, New Bedford, MA 02740-3464 Ph: (508) 992-7994 | Jennifer Jane Wallace, PA 101 Page St, New Bedford, MA 02740-3464 Ph: (508) 992-7994 |
Catherine Crosby Ribeiro, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 101 Page St, New Bedford, MA 02740 Phone: 508-999-1100 |
Daniel Joseph Ligman, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 226 Field St, New Bedford, MA 02740 Phone: 508-979-5557 |
Nicole Delmonico, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1155 Purchase St, New Bedford, MA 02740 Phone: 508-997-2900 |
Aaron James Estrela, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 101 Page St, New Bedford, MA 02740 Phone: 508-973-5930 Fax: 508-973-5931 |
Joy Nightingale, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 101 Page St, New Bedford, MA 02740 Phone: 508-973-5918 Fax: 508-973-5916 |
Jonathan Omane, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 226 Field St, New Bedford, MA 02740 Phone: 508-979-5557 |
Conor Bliss, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 101 Page St, New Bedford, MA 02740 Phone: 508-973-5918 Fax: 508-973-5916 |