Jared Wallace has Physician Assistant as his primary medical specialty. Their primary office is: 11595 Kenai Spur Hwy in Kenai, Alaska.
They're a part of the: Odyssey Family Practice Llc medical group which has around 4 members. You can call their office at 907-313-4569 to schedule an appointment. They also accept the Medicare-approved amount as payment in full. They attended Sorry, his university is not listed and graduated in 2009 (around 15 years of experience). They are listed as doing telehealth appointments.
Jared Wallace
Odyssey Family Practice Llc
11595 Kenai Spur Hwy
Kenai, Alaska 99611
907-313-4569
Phone: 907-313-4569
Enter a starting address:
Medical School: Sorry, his university is not listed
Graduation Year: 2009
The Primary Medical Specialty for Jared Wallace is listed as: Physician Assistant
Approximate Years of Experience: 15
PAC (PECOS ID)#: 2961543319
NPI #: 1063746667
NPI Created On: 09/29/2009
NPI Last Updated Listed as: 03/07/2023
Primary Taxonomy Code: 363A00000X
Listed Gender: Male
Services and Procedures include:
Open Payments Data. This can include items to test (Durable Medical Equipment (DME)), Biological, Drug Samples, etc. This data must be reported to CMS.
Payments Total: $21
Number of Payments:: 1
Form of Payment: Cash or cash equivalent
Record ID:: 805597889
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: Cardiovascular
Name of Drug #1: Livalo
Open Associated Drug #1: 66869-404-07
Payments Total: $20
Number of Payments:: 1
Form of Payment: Cash or cash equivalent
Record ID:: 805597891
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: Cardiovascular
Name of Drug #1: Livalo
Open Associated Drug #1: 66869-404-07
Payments Total: $24
Number of Payments:: 1
Form of Payment: Cash or cash equivalent
Record ID:: 805597893
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: Cardiovascular
Name of Drug #1: Livalo
Open Associated Drug #1: 66869-404-07
Drug or Biological: Drug
Product Category #2: Cardiovascular
Name Of Drug #2:: Bystolic
Associated Drug #2: 0456-1405-01
Payments Total: $22
Number of Payments:: 1
Form of Payment: Cash or cash equivalent
Record ID:: 805597897
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: Cardiovascular
Name of Drug #1: Livalo
Open Associated Drug #1: 66869-404-07
Payments Total: $19
Number of Payments:: 1
Form of Payment: In-kind items and services
Third party is a Charity:: No
Record ID:: 818864239
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: Diabetes
Name of Drug #1: TRULICITY
Open Associated Drug #1: 0002-1433-80
Drug or Biological: Drug
Product Category #2: Diabetes
Name Of Drug #2:: JARDIANCE
Associated Drug #2: 0597-0152-37
Payments Total: $23
Number of Payments:: 1
Form of Payment: In-kind items and services
Third party is a Charity:: No
Record ID:: 819233745
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: Diabetes
Name of Drug #1: TRULICITY
Open Associated Drug #1: 0002-1433-80
Drug or Biological: Drug
Product Category #2: Diabetes
Name Of Drug #2:: JARDIANCE
Associated Drug #2: 0597-0152-37
Payments Total: $15
Number of Payments:: 1
Form of Payment: In-kind items and services
Third party is a Charity:: No
Record ID:: 819244285
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: Diabetes
Name of Drug #1: TRULICITY
Open Associated Drug #1: 0002-1433-80
Drug or Biological: Drug
Product Category #2: Diabetes
Name Of Drug #2:: JARDIANCE
Associated Drug #2: 0597-0152-37
Payments Total: $18
Number of Payments:: 1
Form of Payment: In-kind items and services
Third party is a Charity:: No
Record ID:: 819248291
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: Diabetes
Name of Drug #1: TRULICITY
Open Associated Drug #1: 0002-1433-80
Drug or Biological: Drug
Product Category #2: Diabetes
Name Of Drug #2:: JARDIANCE
Associated Drug #2: 0597-0152-37
Payments Total: $18
Number of Payments:: 1
Form of Payment: In-kind items and services
Third party is a Charity:: No
Record ID:: 819248293
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: Diabetes
Name of Drug #1: TRULICITY
Open Associated Drug #1: 0002-1433-80
Drug or Biological: Drug
Product Category #2: Diabetes
Name Of Drug #2:: JARDIANCE
Associated Drug #2: 0597-0152-37
Payments Total: $14
Number of Payments:: 1
Form of Payment: In-kind items and services
Record ID:: 795851733
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: NEUROSCIENCE
Name of Drug #1: UBRELVY
Open Associated Drug #1: 0023-6501-10
805 Frontage Rd
Kenai, AK
Peninsula Community Health Services Of Alaska Inc
805 Frontage Rd
Kenai, AK
Peninsula Community Health Services Of Alaska Inc
508 Upland St
Kenai, AK
Kenaitze Indian Tribe
508 Upland St
Kenai, AK
Kenaitze Indian Tribe
11595 Kenai Spur Hwy
Kenai, AK
Odyssey Family Practice Llc
130 S Willow St
Kenai, AK
Aa Pain Clinic, Inc.
11595 Kenai Spur Hwy
Kenai Ak 99611-7757
Odyssey Family Practice Llc
Family Practice
11595 Kenai Spur Hwy
Kenai Ak 99611-7757
Odyssey Family Practice Llc
Nurse Practitioner
11595 Kenai Spur Hwy
Kenai Ak 99611-7757
Odyssey Family Practice Llc
Physician Assistant
11595 Kenai Spur Hwy
Kenai Ak 99611-7757
Odyssey Family Practice Llc
Physician Assistant
View all 4 members of Odyssey Family Practice Llc medical group