| Robin E Wallace, PHYSICIAN ASSISTANT | |
| 
					6160 Kempsville Cir Ste 325a, Norfolk, VA 23502-3933  | |
| (757) 354-2885 | |
| (757) 917-5141 | 
| Full Name | Robin E Wallace | 
|---|---|
| Gender | Female | 
| Speciality | Physician Assistant | 
| Location | 6160 Kempsville Cir Ste 325a, Norfolk, Virginia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1942497631 | NPI | - | NPPES | 
| -022 | Other | VA | TRICARE/CHAMPUS | 
| 10115900P | Other | VA | OPTIMA HEALTH | 
| 1942497631 | Medicaid | VA | |
| 8101130 | Medicaid | NC | |
| PAR | Other | VA | CORVEL | 
| PAR | Other | VA | USA MANAGED CARE | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363A00000X | Physician Assistant | 0110002610 (Virginia) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Robin E Wallace, PHYSICIAN ASSISTANT 6160 Kempsville Cir Ste 325a, Norfolk, VA 23502-3933 Ph: (757) 354-2885  | Robin E Wallace, PHYSICIAN ASSISTANT 6160 Kempsville Cir Ste 325a, Norfolk, VA 23502-3933 Ph: (757) 354-2885  | 
Zena Coreen Longvall, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 844 Kempsville Rd Ste 212, Norfolk, VA 23502 Phone: 757-261-5977 Fax: 757-275-9913  | |
Ryan Sadinski, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 600 Gresham Dr Fl 5, Norfolk, VA 23507 Phone: 757-388-3198  | |
Hailey Marie Hughes, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9545 Shore Dr, Norfolk, VA 23518 Phone: 757-785-4861  | |
Mr. Philip John Dauernheim, PHYSICIAN ASSISTANT Physician Assistant Medicare: Medicare Enrolled Practice Location: 1721 Taussig Blvd., Norfolk, VA 23511 Phone: 757-314-6401  | |
Jibiao Huang, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 600 Gresham Dr Ste 202a, Norfolk, VA 23507 Phone: 757-252-9140  | |
Katherine Ashley Woodward, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 844 Kempsville Rd Ste 204, Norfolk, VA 23502 Phone: 757-261-0700 Fax: 757-261-0701  | |
Lisa A Everitt, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5900 Lake Wright Dr, Norfolk, VA 23502 Phone: 757-466-8683 Fax: 757-466-0250  |