Mrs Gretchen Coleman Wallace, MS, RD, LD, CD in St. Louis, MO - Medicare Dietitian, Registered Provider

Mrs Gretchen Coleman Wallace, MS, RD, LD, CD is a medicare enrolled "Dietitian, Registered" provider in St. Louis, Missouri. Her current practice location is 6 Cardinal Way, Suite 900, St. Louis, Missouri. You can reach out to her office (for appointments etc.) via phone at (360) 209-2075.

Mrs Gretchen Coleman Wallace is licensed to practice in Washington (license number DI60956654) 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 1023535440.

Contact Information

	Mrs Gretchen Coleman Wallace, MS, RD, LD, CD
	6 Cardinal Way, Suite 900, St. Louis, MO 63102
	(360) 209-2075
	(206) 681-9640

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Gretchen Coleman Wallace
Gender	Female
Speciality	Dietitian, Registered
Location	6 Cardinal Way, St. Louis, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023535440
Provider Enumeration Date: 08/25/2017
Last Update Date: 11/08/2023

Medicare PECOS Information:

PECOS PAC ID: 3173855319
Enrollment ID: I20191218001051

Medical Identifiers

Medical identifiers for Mrs Gretchen Coleman Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023535440	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	2023005984 (Missouri)	Secondary
133V00000X	Dietitian, Registered	(* (Not Available))	Secondary
133V00000X	Dietitian, Registered	10235828 (Oregon)	Secondary
133V00000X	Dietitian, Registered	DI60956654 (Washington)	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. Mrs Gretchen Coleman Wallace allows following entities to bill medicare on her behalf.

Provider Name	Emily Program Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1154696698 PECOS PAC ID: 5193623254 Enrollment ID: O20110419000204

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. Mrs Gretchen Coleman 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
Mrs Gretchen Coleman Wallace, MS, RD, LD, CD 6 Cardinal Way Ste 900, St. Louis, MO 63102 Ph: (360) 209-2075	Mrs Gretchen Coleman Wallace, MS, RD, LD, CD 6 Cardinal Way, Suite 900, St. Louis, MO 63102 Ph: (360) 209-2075

Reviews and Comments

Dietitian, Registered in St. Louis, MO

Anne Henry Francis, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: Va St. Louis Health Care System, 1 Jefferson Barracks Drive, St. Louis, MO 63125 Phone: 314-652-4100
Ms. Julia Ann Gilmer, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1 Jefferson Barracks Rd., 120/jb, St. Louis, MO 63125 Phone: 314-894-6632 Fax: 314-845-5023
Lindsey Allison Hooks, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: Des Peres Hospital, 2345 Dougherty Ferry Road, St. Louis, MO 63122 Phone: 314-966-9147
Mary Gilcrease, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1 Children's Place, St. Louis, MO 63110 Phone: 314-454-4760
Mrs. Janice Ann Okeefe, RD,LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 12303 Depaul Dr., St. Louis, MO 63044 Phone: 314-344-6373 Fax: 314-344-6936
Ms. Amber Joy Wamhoff, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 470 Lake Avenue Unit 1 South, St. Louis, MO 63108 Phone: 314-583-4525

Mrs Gretchen Coleman Wallace, MS, RD, LD, CD - Medicare Dietitian in St. Louis, MO