| Stephanie Celeste Wallace, PA-C | |
|
1000 Vale Terrace Dr, Vista, CA 92084-5218 | |
| (760) 631-5000 | |
| (760) 414-3892 |
| Full Name | Stephanie Celeste Wallace |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 21 Years |
| Location | 1000 Vale Terrace Dr, Vista, California |
| 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 |
|---|---|---|---|
| 1518104942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA19629 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Asante Three Rivers Medical Center | Grants pass, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Women's Health Center Of Southern Oregon Pc | 8628041720 | 15 |
| Entity Name | Women's Health Center of Southern Oregon PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528175437 PECOS PAC ID: 8628041720 Enrollment ID: O20040817000751 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Celeste Wallace, PA-C 1000 Vale Terrace Dr, Vista, CA 92084-5218 Ph: (760) 631-5000 | Stephanie Celeste Wallace, PA-C 1000 Vale Terrace Dr, Vista, CA 92084-5218 Ph: (760) 631-5000 |
Abbie Epley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 130 Cedar Rd, Vista, CA 92083 Phone: 760-806-5500 |
Megan Hogg, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 969 S Santa Fe Ave # A, Vista, CA 92083 Phone: 760-941-7050 Fax: 760-941-7142 |
Mr. Steve Keith Phillips, PA-S Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2243 Green Hills Way, Vista, CA 92084 Phone: 760-458-9413 |
Ms. Paula Sorrentino, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 145 Thunder Dr, Vista, CA 92083 Phone: 760-630-5487 Fax: 760-630-2558 |
April Hebard Weaver, MPA, P.A-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1000 Vale Terrace Dr, Vista, CA 92084 Phone: 760-631-5000 Fax: 760-414-3713 |
Elise Jordan, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 910 Sycamore Ave Ste 270, Vista, CA 92081 Phone: 760-598-1776 |
Kerianne Mckenzie, Physician Assistant Medicare: Medicare Enrolled Practice Location: 2067 W Vista Way Ste 250, Vista, CA 92083 Phone: 951-852-6334 |