| Prof Leah Gynell Wallace, PA-C | |
|
1347 Boston Post Rd, Suite 106, Madison, CT 06443-3475 | |
| (203) 779-5207 | |
| (203) 779-5792 |
| Full Name | Prof Leah Gynell Wallace |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 12 Years |
| Location | 1347 Boston Post Rd, Madison, Connecticut |
| 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 |
|---|---|---|---|
| 1518233931 | NPI | - | NPPES |
| 008039969 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 002731 (Connecticut) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Step Up Care Pc Llc | 5496088346 | 100 |
| Hartford Healthcare Urgent Care Centers Llc | 7618242777 | 134 |
| Mailing Address | Practice Location Address |
|---|---|
| Prof Leah Gynell Wallace, PA-C 28 Crescent St, Suite 106, Middletown, CT 06457-3654 Ph: (860) 358-4820 | Prof Leah Gynell Wallace, PA-C 1347 Boston Post Rd, Suite 106, Madison, CT 06443-3475 Ph: (203) 779-5207 |
Javier Motta, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 146 Samson Rock Dr, Madison, CT 06443 Phone: 203-318-8000 | |
Sarah Orlando, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1347 Boston Post Rd, Madison, CT 06443 Phone: 203-779-5207 Fax: 203-779-5792 | |
Larissa Magness Fopeano, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1291 Boston Post Rd Ste 105, Madison, CT 06443 Phone: 860-358-5100 Fax: 860-358-8655 | |
Jessica L Paulson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1347 Boston Post Rd, Madison, CT 06443 Phone: 203-779-5207 Fax: 203-779-5792 | |
Joseph M Slater, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1353 Boston Post Rd, Madison, CT 06443 Phone: 203-245-4933 Fax: 203-245-4399 | |
Susanne L Scofield Hinton, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1291 Boston Post Rd Ste 105, Madison, CT 06443 Phone: 860-358-5100 Fax: 860-358-8655 |