Mrs Jordan Jehree Wallace, PA-C - Medicare Physician Assistant in Little Rock, AR

Mrs Jordan Jehree Wallace, PA-C is a medicare enrolled "Physician Assistant - Medical" in Little Rock, Arkansas. Her current practice location is 4301 W Markham St # 721, Little Rock, Arkansas. You can reach out to her office (for appointments etc.) via phone at (501) 526-6062.

Mrs Jordan Jehree Wallace is licensed to practice in Arkansas (license number PA-1208) 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 1063291789.

Contact Information

Mrs Jordan Jehree Wallace, PA-C
4301 W Markham St # 721,
Little Rock, AR 72205-7101
(501) 526-6062
(501) 686-5780



Provider's Profile

Full NameMrs Jordan Jehree Wallace
GenderFemale
SpecialityPhysician Assistant - Medical
Location4301 W Markham St # 721, Little Rock, Arkansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1063291789
  • Provider Enumeration Date: 09/22/2023
  • Last Update Date: 11/02/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5890143077
  • Enrollment ID: I20231129000015

Medical Identifiers

Medical identifiers for Mrs Jordan Jehree Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063291789NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical PA-1208 (Arkansas)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. Mrs Jordan Jehree 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 AddressPractice Location Address
Mrs Jordan Jehree Wallace, PA-C
4301 W Markham St # 783,
Little Rock, AR 72205-7101

Ph: (501) 686-8000
Mrs Jordan Jehree Wallace, PA-C
4301 W Markham St # 721,
Little Rock, AR 72205-7101

Ph: (501) 526-6062

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› Verified 7 days ago


Physician Assistant Nurses in Little Rock, AR

Jessica Leigh Westbrook, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 7 Shackleford West Blvd, Little Rock, AR 72211
Phone: 501-664-5860    Fax: 501-664-0889
Katherine A Mccrady, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 9601 Baptist Health Dr Ste 860, Little Rock, AR 72205
Phone: 501-975-7455    Fax: 501-975-3631
Faith Ellen Gebhardt, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 800 Fair Park Blvd, Little Rock, AR 72204
Phone: 501-500-3500    
Bryan Matthew Cearley, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1300 Centerview Dr, Little Rock, AR 72211
Phone: 501-219-8900    
Mrs. Kendyl Washburn Miedema, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 9601 Baptist Health Dr Ste 860, Little Rock, AR 72205
Phone: 501-975-7456    Fax: 501-975-1822
Brooke Contois Walls, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 9601 Baptist Health Dr Ste 860, Little Rock, AR 72205
Phone: 501-975-7455    Fax: 501-975-3631
Claudia Madison Helbig, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 5 Saint Vincent Cir Ste 300, Little Rock, AR 72205
Phone: 501-552-8800    

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