Mr Jared Lee Wallace, PA-C in Kenai, AK

Mr Jared Lee Wallace, PA-C is a medicare enrolled "Physician Assistant" in Kenai, Alaska. His current practice location is 43783 Kenai Spur Hwy, Kenai, Alaska. You can reach out to his office (for appointments etc.) via phone at (907) 283-9116.

Mr Jared Lee Wallace is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1063746667.

Contact Information

	Mr Jared Lee Wallace, PA-C
	43783 Kenai Spur Hwy, Kenai, AK 99611
	(907) 283-9116
	(907) 283-9122

Map and Direction

Provider's Profile

Full Name	Mr Jared Lee Wallace
Gender	Male
Speciality
Experience	Years
Location	43783 Kenai Spur Hwy, Kenai, Alaska
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Jared Lee Wallace attended and graduated from in

NPI Data:

NPI Number: 1063746667
Provider Enumeration Date: 09/29/2009
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Mr Jared Lee Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063746667	NPI	-	NPPES
1020379	Medicaid	AK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
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. Mr Jared Lee 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
Mr Jared Lee Wallace, PA-C 43783 Kenai Spur Hwy, Kenai, AK 99611-9708 Ph: (907) 283-9116	Mr Jared Lee Wallace, PA-C 43783 Kenai Spur Hwy, Kenai, AK 99611 Ph: (907) 283-9116

Reviews and Comments

Physician Assistant Nurses in Kenai, AK

Mark Victor Restad, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11472 Kenai Spur Hwy, Suite #2, Kenai, AK 99611 Phone: 907-283-6030 Fax: 907-283-3194
Ms. Rene' D. Kenney, RN, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1611 Tanaga Ave, Kenai, AK 99611 Phone: 907-395-0526
Mr. Mark R Mencel, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 416 Frontage Rd Ste 400, Kenai, AK 99611 Phone: 877-522-1275 Fax: 833-888-7145
Jason Brett Parry, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 11595 Kenai Spur Hwy, Kenai, AK 99611 Phone: 907-313-4596
Sarah Ashley Kurka, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 11595 Kenai Spur Hwy, Kenai, AK 99611 Phone: 907-313-4569 Fax: 907-313-4569
Robert Vernon Mcrorie Jr., Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10543 Kenai Spur Hwy, Kenai, AK 99611 Phone: 907-283-9118

Mr Jared Lee Wallace, PA-C - Medicare in Kenai, AK