| Rex Michael Wallace, NP | |
|
1061 Dowdy Rd, Athens, GA 30606-5700 | |
| (706) 621-7555 | |
| Not Available |
| Full Name | Rex Michael Wallace |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 1 Years |
| Location | 1061 Dowdy Rd, Athens, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629960315 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN286080 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Reddy Urgent Care Llc | 5890932966 | 7 |
| Entity Name | Reddy Urgent Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922356179 PECOS PAC ID: 5890932966 Enrollment ID: O20130508000573 |
| Mailing Address | Practice Location Address |
|---|---|
| Rex Michael Wallace, NP 964 Mauldin Rd, Jefferson, GA 30549-1308 Ph: (706) 654-8899 | Rex Michael Wallace, NP 1061 Dowdy Rd, Athens, GA 30606-5700 Ph: (706) 621-7555 |
Ms. Susan Gail Adams, APRN-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1905 Barnett Shoals Rd, Athens, GA 30605 Phone: 706-542-7053 |
Ireta Favors, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 250 Bray St, Athens, GA 30601 Phone: 678-215-4907 Fax: 678-671-8489 |
Melissa Bienacker Baughcum, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 340 N Milledge Ave Ste B, Athens, GA 30601 Phone: 706-548-0008 Fax: 706-369-9673 |
Amanda Gunter, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1175 Mitchell Bridge Rd, Athens, GA 30606 Phone: 706-534-4637 |
Britanny Dawn Castro, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 242 King Avenue Ste 210, Athens, GA 30606 Phone: 706-475-1700 |
Lauren Gruendling, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 242 King Avenue, Suite 210, Athens, GA 30606 Phone: 706-475-1700 |
Cheryl Y Reed, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2142 W Broad St Bldg 100 Ste 200, Athens, GA 30606 Phone: 706-548-6881 Fax: 706-546-0821 |