Jessica Faye Wallace, PA-C in Washington, DC - Medicare Physician Assistant

Jessica Faye Wallace, PA-C is a medicare enrolled "Physician Assistant - Medical" in Washington, District Of Columbia. Her current practice location is 3020 14th St Nw, Washington, District Of Columbia. You can reach out to her office (for appointments etc.) via phone at (202) 745-4300.

Jessica Faye Wallace is licensed to practice in North Carolina (license number 0010-00640) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1306920780.

Contact Information

	Jessica Faye Wallace, PA-C
	3020 14th St Nw, Washington, DC 20009-6865
	(202) 745-4300
	(202) 745-2510

Provider's Profile

Full Name	Jessica Faye Wallace
Gender	Female
Speciality	Physician Assistant - Medical
Location	3020 14th St Nw, Washington, District Of Columbia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306920780
Provider Enumeration Date: 10/24/2006
Last Update Date: 03/26/2021

Medicare PECOS Information:

PECOS PAC ID: 9032217856
Enrollment ID: I20130730000850

Medical Identifiers

Medical identifiers for Jessica Faye Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306920780	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	0010-00640 (North Carolina)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jessica Faye Wallace is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jessica Faye Wallace, PA-C 3020 14th St Nw, Washington, DC 20009-6865 Ph: (202) 745-4300	Jessica Faye Wallace, PA-C 3020 14th St Nw, Washington, DC 20009-6865 Ph: (202) 745-4300

News Archive

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Jessica Faye Wallace, PA-C - Medicare Physician Assistant in Washington, DC