Dr Keri Ann Wallace, MD in Hartford, CT

Dr Keri Ann Wallace, MD is a medicare enrolled "Pediatrics" physician in Hartford, Connecticut. Her current practice location is 282 Washington St, Ccmc, Primary Care Center, 1f, Hartford, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 545-9333.

Dr Keri Ann Wallace is licensed to practice in Connecticut (license number 046025) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1205807179.

Contact Information

	Dr Keri Ann Wallace, MD
	282 Washington St, Ccmc, Primary Care Center, 1f, Hartford, CT 06106-3322
	(860) 545-9333
	(860) 545-9301

Map and Direction

Physician's Profile

Full Name	Dr Keri Ann Wallace
Gender	Female
Speciality	Pediatrics
Location	282 Washington St, Hartford, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205807179
Provider Enumeration Date: 01/30/2006
Last Update Date: 04/12/2023

Medicare PECOS Information:

PECOS PAC ID: 7113941774
Enrollment ID: I20081006000021

Medical Identifiers

Medical identifiers for Dr Keri Ann Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205807179	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	046025 (Connecticut)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Keri Ann Wallace allows following entities to bill medicare on her behalf.

Entity Name	Connecticut Children's Specialty Group, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669448882 PECOS PAC ID: 6002720117 Enrollment ID: O20031113000468

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 Keri Ann Wallace is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Keri Ann Wallace, MD 282 Washington St, Ccmc, Primary Care Center, 1f, Hartford, CT 06106-3322 Ph: (860) 545-9333	Dr Keri Ann Wallace, MD 282 Washington St, Ccmc, Primary Care Center, 1f, Hartford, CT 06106-3322 Ph: (860) 545-9333

Reviews and Comments

Pediatrics Doctors in Hartford, CT

Dr. Irfan Ahmed Warsy, MBBS Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 282 Washington St, Hartford, CT 06106 Phone: 860-545-9147 Fax: 860-545-9147
James Hagadorn, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 282 Washington St, Hartford, CT 06106 Phone: 860-545-8950 Fax: 860-545-8945
Craig Schramm, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 282 Washington St, Hartford, CT 06106 Phone: 860-545-9440 Fax: 860-545-9445
Mrs. Catherine Clinton Wiley, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 282 Washington Street, Hartford, CT 06106 Phone: 860-545-9300 Fax: 860-545-9301
Melissa Held, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 282 Washington St, Hartford, CT 06106 Phone: 860-545-9000 Fax: 860-545-9969
Adam Silverman, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 282 Washington St, Hartford, CT 06106 Phone: 860-545-9200 Fax: 860-545-9134
Elke Nicole Webb, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 500 Albany Ave, Hartford, CT 06120 Phone: 860-249-9625 Fax: 860-808-1540

Dr Keri Ann Wallace, MD - Medicare Pediatrics in Hartford, CT