Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
REBECCA ELIZABETH WALLMAN
Active
Individual
REBECCA ELIZABETH WALLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-04837
NC
363A00000X
Physician Assistant
0110007289
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1740605229
TRICARE
NC
05
—
1740605229
—
NC
01
—
1839PA
SC MEDICAID
SC
01
—
185TX
BCBS
NC
01
—
277907
MEDCOST
NC
01
—
4159256
UNITED HEALTHCARE
NC
01
—
5650975
AETNA
NC
01
—
P01321199
RAILROAD MEDICARE
NC
Enumeration date
02/20/2014
Last updated
10/30/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up