Temeka J Wallace (NPI# 1700322468, PAC ID# 0941586564) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1700322468 |
| PAC ID by PECOS | 0941586564 |
| Professional Enrollment ID | I20170417000075 |
| Full Name | Temeka J Wallace |
| Organization Legal Name | JOSETTE MARIA MD PA |
| Address |
800 Susan Tart Rd Dunn NC 28334-5506 |
| Phone Number | 9108928892 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0840384723 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340071 | BETSY JOHNSON REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 800 Susan Tart Rd, Dunn, NC 28334-5506 | 9108928892 | JOSETTE MARIA MD PA |
| 13840 Nc Hwy 210 S, Spring Lake, NC 28390-8824 | 9104360648 | JOSETTE MARIA MD PA |
| Organization Legal Name | JOSETTE MARIA MD PA |
| Physicians | 1 |
| Street Address |
800 SUSAN TART RD |
| City | DUNN |
| State | NC |
| Zip | 28334-5506 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Josette Maria | Internal Medicine | 800 Susan Tart Rd, Dunn, NC 28334-5506 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chad Daniel Howard | Internal Medicine | Hospitalist Medicine Physicians of North Carolina Pllc | 800 Tighman Dr, Dunn, NC 28334 |
| Ogochukwu A. Okpala | Obstetrics/gynecology | Harnett Obgyn LLC | 700 Tilghman Dr, Dunn, NC 28334-0007 |
| Cynthia L Burkes | Physician Assistant | Kurt G Vernon Md Pa | 904 W Broad St D, Dunn, NC 28334-4147 |
| Kurt Vernon | Gastroenterology | Kurt G Vernon Md Pa | 904 W Broad St D, Dunn, NC 28334-4147 |
| Erich W Smith | Physician Assistant | Primary Health Choice, Inc. | 509 W Broad St, Dunn, NC 28334-4809 |
| Michael Knott | Physician Assistant | Med Fast, P. C. | 605 W Cumberland St, Dunn, NC 28334-4823 |
| Hubert H Warren Jr. | Optometry | 601 W Broad St, Dunn, NC 28334-4861 | |
| Gary James Robinson | Family Medicine | Goshen Medical Center Incorporated | 801 Tilghman Dr, Suite A, Dunn, NC 28334-4958 |
| John R Mann | Family Medicine | Goshen Medical Center Incorporated | 801 Tilghman Dr, Suite A, Dunn, NC 28334-4958 |
| Ibrahim Nc Oudeh | Internal Medicine | Goshen Medical Center Incorporated | 801 Tilghman Dr, Suite A, Dunn, NC 28334-4958 |
| Find all physicians in zip 28334 | |||
| City | DUNN |
| Zip Code | 28334 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | DUNN + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Temeka J Wallace.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.