| Maureen Mary Wallace, PA-C | |
|
2500 E Hunt Dr Ste H-j, Show Low, AZ 85901-7954 | |
| (928) 537-6937 | |
| (928) 537-3977 |
| Full Name | Maureen Mary Wallace |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 22 Years |
| Location | 2500 E Hunt Dr Ste H-j, Show Low, Arizona |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073559399 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 3191 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Summit Healthcare Regional Medical Center | Show low, AZ | Hospital |
| White Mountain Regional Medical Center | Springerville, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Summit Healthcare Association | 3779568647 | 78 |
| Entity Name | Summit Healthcare Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144209271 PECOS PAC ID: 3779568647 Enrollment ID: O20040623001125 |
| Mailing Address | Practice Location Address |
|---|---|
| Maureen Mary Wallace, PA-C 2500 E Hunt Dr Ste H-j, Show Low, AZ 85901-7954 Ph: (928) 537-6937 | Maureen Mary Wallace, PA-C 2500 E Hunt Dr Ste H-j, Show Low, AZ 85901-7954 Ph: (928) 537-6937 |
Mitchell Kirk Bogle, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2951 N Clark Rd, Show Low, AZ 85901 Phone: 928-537-2550 Fax: 928-832-7228 |
Mr. Curtis Vance Birdno, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4951 S White Mountain Rd Bldg A, Show Low, AZ 85901 Phone: 928-532-1605 Fax: 928-532-2197 |
Quezia Hall, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4951 S White Mountain Rd Bldg A, Show Low, AZ 85901 Phone: 928-537-6700 Fax: 928-537-9581 |
Mr. Eric Olson, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2450 E Show Low Lake Rd Ste 1, Show Low, AZ 85901 Phone: 928-532-5577 |
Jessica Fain, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2200 E Show Low Lake Rd, Show Low, AZ 85901 Phone: 928-537-6371 |
Mr. Justin C Hazen, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2200 E Show Low Lake Rd, Show Low, AZ 85901 Phone: 928-537-4375 |
Shane Mcbride Smith, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2200 E Show Low Lake Rd, Show Low, AZ 85901 Phone: 928-537-4375 |