Madelyn Wallace, PA-C is a medicare enrolled "Physician Assistant" in Upper Chichester, Pennsylvania. She graduated from nursing school in 2025 and has 1 years of diverse experience with area of expertise as Physician Assistant. Her current practice location is
4015 Chichester Ave, Upper Chichester, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(610) 494-4422.
Madelyn Wallace is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1952288219.
Provider's Profile
| Full Name | Madelyn Wallace |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 1 Years |
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| Location | 4015 Chichester Ave, Upper Chichester, Pennsylvania |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Madelyn Wallace graduated from nursing school in 2025
NPI Data:
- NPI Number: 1952288219
- Provider Enumeration Date: 08/19/2025
- Last Update Date: 10/12/2025
Medicare PECOS Information:
- PECOS PAC ID: 0042717951
- Enrollment ID: I20251008000139
Medical Identifiers
Medical identifiers for Madelyn Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952288219 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
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. Madelyn 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 |
|---|
Madelyn Wallace, PA-C
4015 Chichester Ave,
Upper Chichester, PA 19061-3138
Ph: (610) 494-4422 | Madelyn Wallace, PA-C
4015 Chichester Ave,
Upper Chichester, PA 19061-3138
Ph: (610) 494-4422 |
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