Mackenzie Carolyn Waltz Dallaire, PA-C
Mackenzie Carolyn Waltz Dallaire, PA-C is a Physician Assistant in Camden, New Jersey. Qualified in 2022, 4 years ago. Practices with Virtua Medical Group, PA, a 1,669-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey and Pennsylvania.
- Years since qualifying
- 4
- Licensed in
- NJ, PA
- In the registry since
- 2021
- Specialties on file
- 2
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
Camden, NJNo coordinates on file. Search this address in Google Maps
Additional practice locations (1)
- 4170 City Ave, Philadelphia, PA 19131-1610 — (301) 641-9213
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X · Licence 25MP00728700 (NJ) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X (PA) |
Record details
| NPI number | 1164188520 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | Yes |
| NPI enumerated | November 10, 2021 |
| Last updated in NPPES | October 4, 2024 |
| Certification date | October 4, 2024 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Virtua Medical Group, Pa — 1669 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
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