Jamie M Wallace (NPI# 1255523346, PAC ID# 7214022466) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1255523346 |
| PAC ID by PECOS | 7214022466 |
| Professional Enrollment ID | I20071002000853 |
| Full Name | Jamie M Wallace |
| Organization Legal Name | MID LOUISIANA SURGICAL SPECIALISTS |
| Address |
3311 Prescott Rd Suite 201 Alexandria LA 71301-3983 |
| Phone Number | 3184426767 |
| Gender | F |
| Graduation Year | 2007 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4284610080 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190019 | CHRISTUS ST FRANCES CABRINI HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3311 Prescott Rd, Suite 201, Alexandria, LA 71301-3983 | 3184426767 | MID LOUISIANA SURGICAL SPECIALISTS |
| Organization Legal Name | MID LOUISIANA SURGICAL SPECIALISTS |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hailey D Weeks | Physician Assistant | Mid Louisiana Surgical Specialists | 3311 Prescott Rd, Suite 201, Alexandria, LA 71301-3983 |
| Robert S York | General Surgery | Mid Louisiana Surgical Specialists | 3311 Prescott Rd, Suite 201, Alexandria, LA 71301-3983 |
| Philip Anthony Cole Ii | General Surgery | Mid Louisiana Surgical Specialists | 3311 Prescott Rd, Suite 201, Alexandria, LA 71301-3983 |
| Darryl J Aguilar | General Surgery | Mid Louisiana Surgical Specialists | 3311 Prescott Rd, Suite 201, Alexandria, LA 71301-3983 |
| James Norman Parrish | General Surgery | Mid Louisiana Surgical Specialists | 3311 Prescott Rd, Suite 201, Alexandria, LA 71301-3983 |
| Wayne Lowry Watkins | General Surgery | Mid Louisiana Surgical Specialists | 3311 Prescott Rd, Suite 201, Alexandria, LA 71301-3983 |
| Michael J Hebert | Physician Assistant | Mid Louisiana Surgical Specialists | 3311 Prescott Rd, Suite 201, Alexandria, LA 71301-3983 |
| James M Conerly | General Surgery | Mid Louisiana Surgical Specialists | 3311 Prescott Rd, Suite 201, Alexandria, LA 71301-3983 |
| Erica V Bordelon | Nurse Practitioner | Mid Louisiana Surgical Specialists | 3311 Prescott Rd, Suite 201, Alexandria, LA 71301-3983 |
| Hascal A Bossier | Physician Assistant | Mid Louisiana Surgical Specialists | 3311 Prescott Rd, Suite 201, Alexandria, LA 71301-3983 |
| Street Address |
3311 PRESCOTT RD SUITE 201 |
| City | ALEXANDRIA |
| State | LA |
| Zip | 71301-3983 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Andrews Bass | Urology | The Urology Clinic | 3311 Prescott Rd, Suite 100, Alexandria, LA 71301-3917 |
| Craig Manzer | Nurse Practitioner | Louisiana Cardiovascular and Thoracic Institute, LLC | 3311 Prescott Rd, Suite 202, Alexandria, LA 71301-3983 |
| Robert C Dewitt | Cardiac Surgery | Louisiana Cardiovascular and Thoracic Institute, LLC | 3311 Prescott Rd, Suite 202, Alexandria, LA 71301-3983 |
| Robert L Fontane | Urology | The Urology Clinic | 3311 Prescott Rd, Suite 100, Alexandria, LA 71301-3917 |
| Kelly Ryder Letsinger | Hospice/palliative Care | C H Wilkinson Physician Network | 3311 Prescott Rd, Suite 317, Alexandria, LA 71301-3984 |
| Nicole B Babin | Nurse Practitioner | Freedman Memorial Cardiology | 3311 Prescott Rd, Suite 112, Alexandria, LA 71301-3917 |
| Hailey D Weeks | Physician Assistant | Mid Louisiana Surgical Specialists | 3311 Prescott Rd, Suite 201, Alexandria, LA 71301-3983 |
| Gary P Jones | Thoracic Surgery | Louisiana Cardiovascular and Thoracic Institute, LLC | 3311 Prescott Rd, Suite 202, Alexandria, LA 71301-3983 |
| Robert S York | General Surgery | Mid Louisiana Surgical Specialists | 3311 Prescott Rd, Suite 201, Alexandria, LA 71301-3983 |
| Vincent D Mallory | Family Medicine | 3311 Prescott Rd, Suite 316, Alexandria, LA 71301-3984 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ravinderjit S Brar | Internal Medicine | Rapides Regional Physician Group Primary Care, LLC | 3425 N Blvd, Alexandria, LA 71301 |
| David J Guillot | Family Medicine | 6410 Masonic Dr, Alexandria, LA 71301-2319 | |
| Elizabeth S Taylor | Psychiatry | Compass Rehab, LLC | 6410 Masonic Dr, Alexandria, LA 71301-2319 |
| Vincent A Escandell | Psychologist, Clinical | 6016 Navaho Trail, Alexandria, LA 71301-2735 | |
| Roy R Strickland | Chiropractic | 2385 S Macarthur Dr, Suite A, Alexandria, LA 71301-3062 | |
| Blaine M Broussard | Internal Medicine | Freedman Clinic of Internal Medicine LLP | 1337 Centre Ct, Alexandria, LA 71301-3405 |
| Zack Terry Buckalew Iii | Internal Medicine | Freedman Clinic of Internal Medicine LLP | 1337 Centre Ct, Alexandria, LA 71301-3405 |
| Kaitlin D Miller | Nurse Practitioner | Freedman Clinic of Internal Medicine LLP | 1337 Centre Ct, Alexandria, LA 71301-3405 |
| Daniel Renois | Family Medicine | Freedman Clinic of Internal Medicine LLP | 1337 Centre Ct, Alexandria, LA 71301-3405 |
| Ernesto J Garcia-ramos | Internal Medicine | Freedman Clinic of Internal Medicine LLP | 1337 Centre Ct, Alexandria, LA 71301-3405 |
| Find all physicians in zip 71301 | |||
| City | ALEXANDRIA |
| Zip Code | 71301 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | ALEXANDRIA + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jamie M 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.