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

Mr Jared Lee Wallace, PA-C is a medicare enrolled "Physician Assistant" in Kenai, Alaska. He graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Odyssey Family Practice Llc and 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	Physician Assistant
Experience	15 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 graduated from nursing school in 2009

NPI Data:

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

Medicare PECOS Information:

PECOS PAC ID: 2961543319
Enrollment ID: I20100106000812

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

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Central Peninsula General Hospital	Soldotna, AK	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Odyssey Family Practice Llc	3476989062	4

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: Medicare Enrolled Practice Location: 1611 Tanaga Ave, Kenai, AK 99611 Phone: 907-395-0526
Jennifer Beacham Person, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 10543 Kenai Spur Hwy, Kenai, AK 99611 Phone: 907-395-0463
Jason Brett Parry, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 11595 Kenai Spur Hwy, Kenai, AK 99611 Phone: 907-313-4596
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 Physician Assistant in Kenai, AK