Dr Celeste Nicole Wallace, DO - Pediatrics in Greensboro, NC

Dr Celeste Nicole Wallace, DO is a Pediatrics physician based in Greensboro, North Carolina. Dr Celeste Nicole Wallace is licensed to practice in Ohio (license number 34--008564) and her current practice location is 802 Green Valley Rd, Suite 210, Greensboro, North Carolina. She can be reached at her office (for appointments etc.) via phone at (336) 802-2536.

NPI number for Dr Celeste Nicole Wallace is 1740252576 and her current mailing address is 1701 Westchester Dr, Suite 850, High Point, North Carolina. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1740252576.

Contact Information

Dr Celeste Nicole Wallace, DO
802 Green Valley Rd, Suite 210,
Greensboro, NC 27408-7041
(336) 802-2536
(336) 802-2534

Map and Direction




Physician's Profile

Full NameDr Celeste Nicole Wallace
GenderFemale
SpecialityPediatrics
Location802 Green Valley Rd, Greensboro, North Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1740252576
  • Provider Enumeration Date: 02/06/2006
  • Last Update Date: 01/16/2013

Medical Identifiers

Medical identifiers for Dr Celeste Nicole Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740252576NPI-NPPES
2583520MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 34--008564 (Ohio)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Celeste Nicole Wallace is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Celeste Nicole Wallace, DO
1701 Westchester Dr, Suite 850,
High Point, NC 27262-7008

Ph: (336) 802-2536
Dr Celeste Nicole Wallace, DO
802 Green Valley Rd, Suite 210,
Greensboro, NC 27408-7041

Ph: (336) 802-2536

Reviews and Comments


Pediatrics Doctors in Greensboro, NC

Dr. Shruti Vijaya Simha, M.D., M.P.H
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Dr. Perry Scott Agbuya Jr., D.O.
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Nicole C Chandler, M.D.
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Medicare: Medicare Enrolled
Practice Location: 301 E Wendover Ave, Ste 400, Greensboro, NC 27401
Phone: 336-832-3150    Fax: 336-832-3151
William Albert Dalkin, MD
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Madison Nation Botts, MD
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Medicare: Medicare Enrolled
Practice Location: 2707 Henry St, Greensboro, NC 27405
Phone: 336-574-4280    Fax: 336-574-4634
Dr. Jessica Jane Sibley, MD
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Medicare: Medicare Enrolled
Practice Location: 1121 N Church St, Greensboro, NC 27401
Phone: 336-832-6500    

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