Donetta Wallace, P.A.-C

ActiveIndividual ProviderSpecialty not listed
NPI issued: August 9, 2005

Quick Facts

NPI Number
1417958828
TypeIndividual
StatusActive
SpecialtySpecialty not listed
Taxonomy363AM0700X — Specialty not listed
Phone
(606) 789-8666
StateKY

NPI Validation Status: Verified

Valid 10-digit NPI number (1417958828)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (August 9, 2005)
Data source: CMS NPPES

Provider Overview

DONETTA WALLACE, P.A.-C is a Healthcare provider based in Paintsville, KY who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1417958828
Provider TypeIndividual Provider
GenderFemale
CredentialP.A.-C
StatusActive
Enumeration DateAugust 9, 2005

Practice Location

CityPaintsville
StateKY
ZIP Code41240-1804
Phone(606) 789-8666

Specialties & Licenses

★ Primary
SpecialtySpecialty not listed
Taxonomy Code363AM0700X
License StateKY

Mailing Address

CityPaintsville
StateKY
ZIP Code41240-1804
Phone(606) 789-8666
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1417958828 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1417958828for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1417958828 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

Specialists in Specialty not listed provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

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41,933
Specialty not listed Providers in the US

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People Also Ask

What is Donetta Wallace's NPI number?
Donetta Wallace's NPI number is 1417958828, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Donetta Wallace's NPI currently active?
Yes, Donetta Wallace's NPI status is Active as of the latest CMS NPPES database updates.
What does Donetta Wallace specialize in?
Donetta Wallace specializes in Specialty not listed. The healthcare taxonomy code associated with this specialty is 363AM0700X.
Where does Donetta Wallace practice?
Donetta Wallace practices in Paintsville, KY 41240-1804.
When was Donetta Wallace's NPI issued?
Donetta Wallace's NPI was issued on August 9, 2005.
What is Donetta Wallace's provider type?
Donetta Wallace is registered as an Individual Provider under CMS NPI Type 1.