Prof. Leah Gynell Wallace, PA-C
Prof. Leah Gynell Wallace, PA-C is a Physician Assistant in Madison, Connecticut. Qualified in 2012, 14 years ago. Practices with Hartford Healthcare Urgent Care Centers LLC, a 203-clinician group and accepts Medicare assignment. Licensed in Connecticut.
- Years since qualifying
- 14
- Licensed in
- CT
- In the registry since
- 2012
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
1347 Boston Post Rd Ste 106Madison, CT 06443-3475
Phone: (203) 779-5207
Fax: (203) 779-5792
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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 002731 (CT) |
|---|
Record details
| NPI number | 1518233931 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | March 29, 2012 |
| Last updated in NPPES | February 25, 2015 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2012 (14 years in practice) |
| Group practice | Hartford Healthcare Urgent Care Centers Llc — 203 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 14 on file with Medicare |
Other providers in Madison
-
Sarah Orlando, PA-C
1347 Boston Post Rd, Madison, CT 06443-3475 · (203) 779-5207
-
Jessica L Paulson, PA-C
1347 Boston Post Rd, Madison, CT 06443-3475 · (203) 779-5207
-
Taylor Marie Schanne, PA
230 Boston Post Rd, Madison, CT 06443-2225 · (203) 245-0496
-
Susanne L Scofield Hinton, PA-C
1291 Boston Post Rd Ste 105, Madison, CT 06443-3476 · (860) 358-5100