MS. Micah R Wallace, PA-C
MS. Micah R Wallace, PA-C is a Physician Assistant in Latrobe, Pennsylvania. Qualified in 2010, 16 years ago. Practices with Excela Health Physician Practices, Inc, a 473-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.
- Years since qualifying
- 16
- Licensed in
- PA
- In the registry since
- 2011
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
100 Excela Health Dr Ste 102Latrobe, PA 15650-9001
Phone: (724) 804-1760
Fax: (724) 804-1762
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X · Licence MA054581 (PA) |
|---|
Record details
| NPI number | 1588946214 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | September 20, 2011 |
| Last updated in NPPES | December 21, 2018 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2010 (16 years in practice) |
| Group practice | Excela Health Physician Practices, Inc — 473 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in Latrobe
-
Mrs. Emily Rose Hegemann, PA-C
5840 Route 981 Ste 101, Latrobe, PA 15650-5397 · (724) 532-1118