Laurie J Wallace, RPA-C - Medicare Physician Assistant in Miller Place, NY

Laurie J Wallace, RPA-C is a medicare enrolled "Physician Assistant" in Miller Place, New York. She graduated from nursing school in 1998 and has 26 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Caremed Primary And Urgent Care Pc and her current practice location is 765 Route 25a Ste 6, Miller Place, New York. You can reach out to her office (for appointments etc.) via phone at (631) 320-3200.

Laurie J Wallace is licensed to practice in New York (license number 006630-1) 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 1326261579.

Contact Information

Laurie J Wallace, RPA-C
765 Route 25a Ste 6,
Miller Place, NY 11764-2649
(631) 320-3200
Not Available

Map and Direction




Provider's Profile

Full NameLaurie J Wallace
GenderFemale
SpecialityPhysician Assistant
Experience26 Years
Location765 Route 25a Ste 6, Miller Place, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Laurie J Wallace graduated from nursing school in 1998
  NPI Data:
  • NPI Number: 1326261579
  • Provider Enumeration Date: 04/10/2007
  • Last Update Date: 11/10/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9133436934
  • Enrollment ID: I20150910002259

Medical Identifiers

Medical identifiers for Laurie J Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326261579NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 006630-1 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Caremed Primary And Urgent Care Pc822435372717

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. Laurie J 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 AddressPractice Location Address
Laurie J Wallace, RPA-C
1 E Roe Blvd,
Patchogue, NY 11772-2631

Ph: (631) 475-3900
Laurie J Wallace, RPA-C
765 Route 25a Ste 6,
Miller Place, NY 11764-2649

Ph: (631) 320-3200

Reviews and Comments


Physician Assistant Nurses in Miller Place, NY

Kelsey Waisanen,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 111 Sylvan Ave, Miller Place, NY 11764
Phone: 631-928-4888    
Kristina Zuzzolo, PHYSICIAN ASSISTANT
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 555 Route 25a, Miller Place, NY 11764
Phone: 631-744-6666    Fax: 631-744-0525
Mr. Daniel R. Raio, RPA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 148 Natures Ln, Miller Place, NY 11764
Phone: 631-636-6888    Fax: 631-209-5129
Kaitlyn Rose Cornman, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 111 Sylvan Ave, Miller Place, NY 11764
Phone: 631-928-4888    
Yama Qaderi, P.A
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 292 Parkside Ave, Miller Place, NY 11764
Phone: 631-849-5281    
Mr. Justin Lloyd Fink, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 148 Natures Ln, Miller Place, NY 11764
Phone: 631-636-6888    Fax: 631-209-5129

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.