Mr. Jared Lee Wallace, PA-C
Mr. Jared Lee Wallace, PA-C is a Physician Assistant in Kenai, Alaska. Qualified in 2009, 17 years ago. Practices with Odyssey Family Practice, a 5-clinician group, accepts Medicare assignment and offers telehealth.
- Years since qualifying
- 17
- In the registry since
- 2009
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
43783 Kenai Spur HwyKenai, AK 99611
Phone: (907) 283-9116
Fax: (907) 283-9122
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|
Record details
| NPI number | 1063746667 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | September 29, 2009 |
| Last updated in NPPES | March 7, 2023 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2009 (17 years in practice) |
| Group practice | Odyssey Family Practice — 5 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
Other providers in Kenai
-
Sarah Ashley Kurka, PA-C
11595 Kenai Spur Hwy, Kenai, AK 99611-7757 · (907) 313-4569
-
Robert Vernon McRorie Jr.
10543 Kenai Spur Hwy, Kenai, AK 99611-7812 · (907) 283-9118
-
Mr. Mark R Mencel, PA-C
416 Frontage Rd Ste 400, Kenai, AK 99611-7770 · (877) 522-1275
-
Mark Victor Restad, PA-C
11472 Kenai Spur Hwy Ste #2, Kenai, AK 99611-7756 · (907) 283-6030