Dr Danielle Charisse Wallace, MD - Medicare Pediatrics in Winter Park, FL

  1. Home
  2. Pediatrics
  3. FL
  4. Winter Park
Dr Danielle Charisse Wallace, MD is a medicare enrolled "Pediatrics" physician in Winter Park, Florida. Her current practice location is 1801 Lee Rd Ste 165, Winter Park, Florida. You can reach out to her office (for appointments etc.) via phone at (407) 975-0410.

Dr Danielle Charisse Wallace is licensed to practice in Florida (license number ME129213) 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 1114147006.

Contact Information

Dr Danielle Charisse Wallace, MD
1801 Lee Rd Ste 165,
Winter Park, FL 32789
(407) 975-0410
(407) 975-0413

Map and Direction




Physician's Profile

Full NameDr Danielle Charisse Wallace
GenderFemale
SpecialityPediatrics
Location1801 Lee Rd Ste 165, Winter Park, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114147006
  • Provider Enumeration Date: 04/26/2007
  • Last Update Date: 06/13/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7618020611
  • Enrollment ID: I20141008000863

Medical Identifiers

Medical identifiers for Dr Danielle Charisse Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114147006NPI-NPPES
2231891MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics MD61340360 (Washington)Secondary
208000000XPediatrics ME129213 (Florida)Primary
208000000XPediatrics 8023169-1205 (Utah)Secondary
208000000XPediatrics 4301088447 (Michigan)Secondary
208000000XPediatrics U0741 (Texas)Secondary

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 Danielle Charisse Wallace allows following entities to bill medicare on her behalf.
Entity NameHuron Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245257880
PECOS PAC ID: 6800709221
Enrollment ID: O20040302000921
Entity NameNewaygo County General Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750404927
PECOS PAC ID: 4880503051
Enrollment ID: O20040423001232
Entity NameSpectrum Health United
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457304495
PECOS PAC ID: 6305836487
Enrollment ID: O20040612000087
Entity NameMemorial Medical Center Of West Michigan
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972589489
PECOS PAC ID: 3678543659
Enrollment ID: O20071128000647
Entity NameMymichigan Medical Center Gladwin
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881869774
PECOS PAC ID: 0143262915
Enrollment ID: O20081024000094

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 Danielle Charisse 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 AddressPractice Location Address
Dr Danielle Charisse Wallace, MD
100 Michigan St Ne # Mc845,
Grand Rapids, MI 49503-2560

Ph: () -		Dr Danielle Charisse Wallace, MD
1801 Lee Rd Ste 165,
Winter Park, FL 32789

Ph: (407) 975-0410

Reviews and Comments


Pediatrics Doctors in Winter Park, FL

Dr. Nicholo J. Sartor, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 1801 Lee Rd Ste 165, Winter Park, FL 32789
Phone: 407-975-0410    Fax: 407-975-0413
Vanessa Alisa Gutierrez, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 200 N Lakemont Ave, Pediatric Inpt Care At Winter Park, Winter Park, FL 32792
Phone: 407-303-2528    Fax: 407-303-2760
Dr. Shivani Verma, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 2660 W Fairbanks Ave, Winter Park, FL 32789
Phone: 407-898-2767    Fax: 407-898-9443
Clifford Allen Selsky,
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 2830 Casa Aloma Way, Winter Park, FL 32792
Phone: 407-335-4760    Fax: 877-695-8583
Md Saif Al Haque, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2325 W Fairbanks Ave, Winter Park, FL 32789
Phone: 407-539-0311    
Dr. Frank Antolin Lopez, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1992 Mizell Ave, Winter Park, FL 32792
Phone: 407-644-4844    Fax: 407-644-6101

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.