Ms Donetta Wallace, PA-C - Medicare Physician Assistant in Paintsville, KY

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Ms Donetta Wallace, PA-C is a medicare enrolled "Physician Assistant" in Paintsville, Kentucky. She graduated from nursing school in 1999 and has 27 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Ashland Hospital Corporation and her current practice location is 336 N Mayo Trl, Paintsville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (606) 789-8666.

Ms Donetta Wallace is licensed to practice in Kentucky (license number PA544) 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 1417958828.

Contact Information

Ms Donetta Wallace, PA-C
336 N Mayo Trl,
Paintsville, KY 41240-1804
(606) 789-8666
(606) 788-0253

Map and Direction




Provider's Profile

Full NameMs Donetta Wallace
GenderFemale
SpecialityPhysician Assistant
Experience27 Years
Location336 N Mayo Trl, Paintsville, Kentucky
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:
  • Ms Donetta Wallace graduated from nursing school in 1999
  NPI Data:
  • NPI Number: 1417958828
  • Provider Enumeration Date: 08/09/2005
  • Last Update Date: 02/01/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7113813130
  • Enrollment ID: I20040226000281

Medical Identifiers

Medical identifiers for Ms Donetta Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417958828NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical PA544 (Kentucky)Secondary
363A00000XPhysician Assistant PA544 (Kentucky)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Johnson-magoffin Home Health AgencyPaintsville, KYHome health agency
Caretenders - LouisaLouisa, KYHome health agency
King's Daughters' Medical CenterAshland, KYHospital
Paintsville Arh HospitalPaintsville, KYHospital
Highlands Arh Regional Medical CenterPrestonsburg, KYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ashland Hospital Corporation7719882521169

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Donetta Wallace allows following entities to bill medicare on her behalf.
Entity NameAshland Hospital Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053748913
PECOS PAC ID: 7719882521
Enrollment ID: O20031204000877

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. Ms Donetta 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
Ms Donetta Wallace, PA-C
Po Box 2379,
Ashland, KY 41105-2379

Ph: (606) 408-9571		Ms Donetta Wallace, PA-C
336 N Mayo Trl,
Paintsville, KY 41240-1804

Ph: (606) 789-8666

Reviews and Comments


Physician Assistant Nurses in Paintsville, KY

Kenzie Nicole Hammond, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 450 S Mayo Trl, Paintsville, KY 41240
Phone: 606-887-6145    Fax: 844-464-1174
Krista L. Jackson, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 313 West St, Paintsville, KY 41240
Phone: 606-788-6415    Fax: 606-372-6001
Kelley D Cochran, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 607 S Mayo Trl Ste B, Paintsville, KY 41240
Phone: 606-789-6464    Fax: 606-789-6466
Joseph A. Isaac, P.A.
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 625 James S. Trimble Blvd., Paintsville, KY 41240
Phone: 606-789-3511    Fax: 606-789-1432
Loretta P Belhasen, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 838 S Mayo Trl, Paintsville, KY 41240
Phone: 606-789-8749    Fax: 606-789-2060

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.