MRS. Jaclyn Marie Dewalt, PA-C is a medical physician assistant in Apple Valley, MN with 17 years of experience. MRS. Jaclyn Marie Dewalt, PA-C NPI is 1912194291. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
15290 PENNOCK LN
APPLE VALLEY, MN
ZIP 55124-163
Phone: (952) 431-8500
The NPI 1912194291 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Insertion of needle into vein for collection of blood sample (HCPCS:36415)
- Administration of influenza virus vaccine (HCPCS:G0008)
The enumeration date for this NPI number is 10/1/2007 and was last updated on 12/5/2011.