Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alexandra Baltazar Wallace, PA-C

Individual provider Physician Assistant · NPI 1740966829

Alexandra Baltazar Wallace, PA-C is a Physician Assistant in Phoenixville, Pennsylvania. Qualified in 2023, 3 years ago. Practices with Monarch Medical, LLC, a 7-clinician group and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2023
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

507 Kimberton Rd
Phoenixville, PA 19460-4745
Phone: (610) 243-9117
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1740966829
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 23, 2023
Last updated in NPPESMay 31, 2025
Certification dateMay 31, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Monarch Medical, Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Phoenixville