MRS. JORDAN JEHREE WALLACE PA-C
NPI 1063291789
Physician Assistant - Medical in Little Rock, AR
About Mrs. Jordan Jehree Wallace Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JORDAN JEHREE WALLACE PA-C (NPI 1063291789) is an individual medical provider in Little Rock, Arkansas, licensed in Arkansas (PA-1208) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Jordan Jehree Wallace Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LITTLE ROCK, AR 72205
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063291789, enumerated as an "individual" on September 22, 2023.
The provider is located at 5620 W MARKHAM ST LITTLE ROCK, AR 72205 and the phone number is (501) 508-7163.
Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.
The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.
