Mr. Shawn Michael Wallace, PA-C
Mr. Shawn Michael Wallace, PA-C is a Physician Assistant in Rio Rancho, New Mexico. Qualified in 2022, 4 years ago. Practices with Presbyterian Healthcare Services, a 1,375-clinician group and accepts Medicare assignment. Licensed in New Mexico.
- Years since qualifying
- 4
- Licensed in
- NM
- In the registry since
- 2020
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
2400 Unser Blvd SE Ste 08100Rio Rancho, NM 87124
Phone: (505) 253-6100
Fax: (505) 253-6186
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PA2022-0064 (NM) |
|---|
Record details
| NPI number | 1124614706 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | December 17, 2020 |
| Last updated in NPPES | October 28, 2022 |
| Certification date | October 28, 2022 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Presbyterian Healthcare Services — 1375 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |
Other providers in Rio Rancho
-
Seema Sabu, PA-C
1790 Grande Blvd SE, Rio Rancho, NM 87124-1756 · (505) 272-8735
-
Daniel Ray Spohn, PA-C
1630 Rio Rancho Dr SE, Rio Rancho, NM 87124-1587 · (505) 395-5520
-
MS. Nancy Kittredge Stockdale, PAC
914 Pinehurst Rd SE Ste 102, Rio Rancho, NM 87124-2219 · (505) 896-9412
-
MS. Karin Van der Gaarden, PA-C
3715 Southern Blvd SE, Rio Rancho, NM 87124-2080 · (505) 224-7000
-
Mrs. Kelli Suzanne Watkins, PA-C
2400 Unser Blvd SE Ste 19400, Rio Rancho, NM 87124-4740 · (505) 253-6100
-
Aleshia Zaragoza, PA-C
2400 Unser Blvd SE Ste 08200 Bariatrics, Rio Rancho, NM 87124-4740 · (505) 253-6100