Kristina Marie Wallace, PA-C in Grants Pass, OR

Kristina Marie Wallace, PA-C is a medicare enrolled "Physician Assistant" in Grants Pass, Oregon. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Peacehealth and her current practice location is 537 Union Ave, Second Floor, Grants Pass, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 479-6777.

Kristina Marie Wallace is licensed to practice in Oregon (license number PA174747) 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 1417326984.

Contact Information

	Kristina Marie Wallace, PA-C
	537 Union Ave, Second Floor, Grants Pass, OR 97527-5543
	(541) 479-6777
	Not Available

Map and Direction

Provider's Profile

Full Name	Kristina Marie Wallace
Gender	Female
Speciality	Physician Assistant
Experience	9 Years
Location	537 Union Ave, Grants Pass, Oregon
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kristina Marie Wallace graduated from nursing school in 2015

NPI Data:

NPI Number: 1417326984
Provider Enumeration Date: 09/15/2015
Last Update Date: 06/08/2020

Medicare PECOS Information:

PECOS PAC ID: 3072823335
Enrollment ID: I20151117001760

Medical Identifiers

Medical identifiers for Kristina Marie Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417326984	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA174747 (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Sacred Heart Medical Center - Riverbend	Springfield, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Peacehealth	8527016039	174

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. Kristina Marie 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
Kristina Marie Wallace, PA-C 1115 Se 164th Ave Dept 358, Vancouver, WA 98683-8004 Ph: (360) 729-1253	Kristina Marie Wallace, PA-C 537 Union Ave, Second Floor, Grants Pass, OR 97527-5543 Ph: (541) 479-6777

Reviews and Comments

Physician Assistant Nurses in Grants Pass, OR

Jordan Personius, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 500 Sw Ramsey Ave, Grants Pass, OR 97527 Phone: 541-789-4281
Kailey R Kelly, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 500 Sw Ramsey Avenue, Grants Pass, OR 97527 Phone: 541-472-7000
Mrs. Esther M Carson, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1309 Ne 6th St, Grants Pass, OR 97526 Phone: 541-479-3367 Fax: 541-479-0215
Mrs. Kimberly L Waller, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1701 Nw Hawthorne Ave, Grants Pass, OR 97526 Phone: 541-471-3455
Nolan Bastendorff, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 537 Union Ave Fl 2, Grants Pass, OR 97527 Phone: 541-507-2110
Brian James Allen, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 702 Sw Ramsey Ave Ste 112, Grants Pass, OR 97527 Phone: 541-472-0603 Fax: 541-472-0609
Mr. Benjamin Moss, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 495 Sw Ramsey Ave, Grants Pass, OR 97527 Phone: 541-476-6644

Kristina Marie Wallace, PA-C - Medicare Physician Assistant in Grants Pass, OR