| Ms Paula M Wallace, PA | |
|
312 Grammont St Ste 401, Monroe, LA 71201-7403 | |
| (318) 966-1809 | |
| (318) 966-1810 |
| Full Name | Ms Paula M Wallace |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 23 Years |
| Location | 312 Grammont St Ste 401, Monroe, Louisiana |
| 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 |
|---|---|---|---|
| 1689698490 | NPI | - | NPPES |
| 1429112 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | P.A.A10590.RX (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fmol Health St Francis | Monroe, LA | Hospital |
| Entity Name | Ouachita Neurosurgery Center a Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992828123 PECOS PAC ID: 1254227945 Enrollment ID: O20040227000752 |
| Entity Name | St Francis Medical Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134405087 PECOS PAC ID: 5092970624 Enrollment ID: O20120706000094 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Paula M Wallace, PA 5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038 Ph: (318) 323-1809 | Ms Paula M Wallace, PA 312 Grammont St Ste 401, Monroe, LA 71201-7403 Ph: (318) 966-1809 |
Mr. Jonathan D Brewer, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 4864 Jackson St, Monroe, LA 71202 Phone: 318-330-7626 Fax: 318-330-7648 |
Marquis Brown, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4864 Jackson St, Monroe, LA 71202 Phone: 318-330-7000 |
Mr. Jeb Andrews, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2509 Broadmoor Blvd, Ste B, Monroe, LA 71201 Phone: 878-381-3823 |
Shannon Kathleen Chappell, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4864 Jackson St, Monroe, LA 71202 Phone: 318-330-7000 |
Erin N Cantu, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2804 Forsythe Ave, Monroe, LA 71201 Phone: 318-388-0033 |
Michael Kyle Hendricks, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 309 Jackson St, Monroe, LA 71201 Phone: 318-966-2397 |
Miss Logan Jannell Rhodes, Physician Assistant Medicare: Medicare Enrolled Practice Location: 309 Jackson St, Monroe, LA 71201 Phone: 318-966-4000 |