MS. Donetta Wallace, PA-C
MS. Donetta Wallace, PA-C is a Physician Assistant in Paintsville, Kentucky. Qualified in 1999, 27 years ago. Practices with Ashland Hospital Corporation, a 168-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Kentucky.
- Years since qualifying
- 27
- Licensed in
- KY
- In the registry since
- 2005
- 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
336 N Mayo TrlPaintsville, KY 41240-1804
Phone: (606) 789-8666
Fax: (606) 788-0253
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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 PA544 (KY) |
|---|---|
| Medical Physician Assistant | Taxonomy 363AM0700X · Licence PA544 (KY) |
Record details
| NPI number | 1417958828 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | August 9, 2005 |
| Last updated in NPPES | February 1, 2022 |
| Certification date | February 1, 2022 |
| Mailing address | Po Box 2379, Ashland, KY 41105-2379 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 1999 (27 years in practice) |
| Group practice | Ashland Hospital Corporation — 168 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 4 on file with Medicare |
Other providers in Paintsville
-
Loretta P Belhasen, PA-C
838 S Mayo Trl, Paintsville, KY 41240-1384 · (606) 789-8749
-
Kelley D Cochran, PA-C
607 S Mayo Trl Ste B, Paintsville, KY 41240-1250 · (606) 789-6464