Benjamin P Wallace, PA is a surgical physician assistant in Corvallis, OR with 15 years of experience. Benjamin P Wallace, PA NPI is 1992936066. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
3600 NW SAMARITAN DRIVE
SUITE 227
CORVALLIS, OR
ZIP 97330-737
Phone: (541) 768-5223
Fax: (541) 768-5014
The NPI 1992936066 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.
- Heart artery bypass to repair one artery (HCPCS:33533)
- Harvest of veins for coronary artery bypass procedure using an endoscope (HCPCS:33508)
The enumeration date for this NPI number is 8/6/2009 and was last updated on 8/6/2009.