Jacqueline M Wallace, PHYSICIAN - Medicare Obstetrics & Gynecology in Columbia, MD

Jacqueline M Wallace, PHYSICIAN is a medicare enrolled "Obstetrics & Gynecology" physician in Columbia, Maryland. Her current practice location is 10910 Little Patuxent Pkwy, Suite 100, Columbia, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 997-8444.

Jacqueline M Wallace is licensed to practice in Maryland (license number D0069282) 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 1912945155.

Contact Information

Jacqueline M Wallace, PHYSICIAN
10910 Little Patuxent Pkwy, Suite 100,
Columbia, MD 21044-3078
(410) 997-8444
Not Available

Map and Direction




Physician's Profile

Full NameJacqueline M Wallace
GenderFemale
SpecialityObstetrics & Gynecology
Location10910 Little Patuxent Pkwy, Columbia, Maryland
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1912945155
  • Provider Enumeration Date: 06/02/2006
  • Last Update Date: 06/22/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 2264403237
  • Enrollment ID: I20091104000409

Medical Identifiers

Medical identifiers for Jacqueline M Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912945155NPI-NPPES
101044156MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology MD059921L (Pennsylvania)Secondary
207V00000XObstetrics & Gynecology D0069282 (Maryland)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. Jacqueline M Wallace allows following entities to bill medicare on her behalf.
Entity NameBaltimore Medical System, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700882503
PECOS PAC ID: 5395653455
Enrollment ID: O20031121000651
Entity NameSt. Agnes Healthcare, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144250176
PECOS PAC ID: 9830092733
Enrollment ID: O20040128001146
Entity NameSeton Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144409194
PECOS PAC ID: 7416037924
Enrollment ID: O20080122000384

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. Jacqueline M 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
Jacqueline M Wallace, PHYSICIAN
10910 Little Patuxent Pkwy, Suite 100,
Columbia, MD 21044-3078

Ph: (410) 997-8444
Jacqueline M Wallace, PHYSICIAN
10910 Little Patuxent Pkwy, Suite 100,
Columbia, MD 21044-3078

Ph: (410) 997-8444

Reviews and Comments


Obstetrics & Gynecology Doctors in Columbia, MD

Dr. Rona B Eisen, M.D.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 11065 Little Patuxent Pkwy, Suite 200, Columbia, MD 21044
Phone: 410-730-5700    Fax: 410-964-3231
Swati Saraiya, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 10710 Charter Dr, Medical Pavilion At Howard County-suite 200, Columbia, MD 21044
Phone: 410-884-8000    Fax: 410-740-8587
Dr. Carl Douglas Lord, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 9755 Patuxent Woods Dr Ste 100, Columbia, MD 21046
Phone: 800-762-6282    
Dahna L Goldberg, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 6740 Alexander Bell Dr Ste 200, Columbia, MD 21046
Phone: 410-997-8444    Fax: 410-997-8832
Dr. Denise Michelle Kirkner-vourlos, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 10710 Charter Drive, Suite 200, Columbia, MD 21044
Phone: 973-926-4787    Fax: 973-923-7497
Donna M Neale, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 11065 Little Patuxent Pkwy, Center For Maternal And Fetal Medicine, Columbia, MD 21044
Phone: 410-740-7903    Fax: 410-720-8999
Adaku Mbagwu Ezeike, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 6740 Alexander Bell Dr Ste 200, Columbia, MD 21046
Phone: 410-997-8444    Fax: 410-997-8832

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.