Kimberly Shannon Wallace, MD in Gambrills, MD

Kimberly Shannon Wallace, MD is a medicare enrolled "Family Medicine" physician in Gambrills, Maryland. She went to University Of Maryland School Of Medicine and graduated in 2004 and has 20 years of diverse experience with area of expertise as Family Practice. Her current practice location is 1438 Defense Hwy Suite 201, Gambrills, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 721-3200.

Kimberly Shannon Wallace is licensed to practice in Maryland (license number D66924) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1770627705.

Contact Information

	Kimberly Shannon Wallace, MD
	1438 Defense Hwy Suite 201, Gambrills, MD 21054
	(410) 721-3200
	(410) 721-2680

Map and Direction

Physician's Profile

Full Name	Kimberly Shannon Wallace
Gender	Female
Speciality	Family Practice
Experience	20 Years
Location	1438 Defense Hwy Suite 201, Gambrills, Maryland
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kimberly Shannon Wallace attended and graduated from University Of Maryland School Of Medicine in 2004

NPI Data:

NPI Number: 1770627705
Provider Enumeration Date: 02/15/2007
Last Update Date: 03/18/2019

Medicare PECOS Information:

PECOS PAC ID: 5496937351
Enrollment ID: I20130115000239

Medical Identifiers

Medical identifiers for Kimberly Shannon Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770627705	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	D66924 (Maryland)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Bayada Home Health, Inc	Towson, MD	Home health agency

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. Kimberly Shannon 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
Kimberly Shannon Wallace, MD 1438 Defense Hwy Suite 201, Gambrills, MD 21054 Ph: (410) 721-3200	Kimberly Shannon Wallace, MD 1438 Defense Hwy Suite 201, Gambrills, MD 21054 Ph: (410) 721-3200

Reviews and Comments

Family Medicine Doctors in Gambrills, MD

Dr. Ian M Shantz, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2401 Brandermill Blvd, Suite 250, Gambrills, MD 21054 Phone: 410-721-1507 Fax: 410-721-1510
Howard Kenneth Schultz Jr., MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1438 Defense Highway, Suite 201, Gambrills, MD 21054 Phone: 410-721-3200 Fax: 410-721-2680
Peter Su, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1438 Defense Highway, Suite 201, Gambrills, MD 21054 Phone: 410-721-3200 Fax: 410-721-2680
Michelle Marie Skinner, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2401 Brandermill Blvd, Gambrills, MD 21054 Phone: 410-721-1507 Fax: 410-721-1510
Dr. David G Freas, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2401 Brandermill Blvd, Suite 250, Gambrills, MD 21054 Phone: 410-721-1507 Fax: 410-721-1510
Mrs. Colleen King Goode, DNP, MA, FNP-BC, CNE Family Medicine Medicare: Medicare Enrolled Practice Location: 1404 S Main Chapel Way Ste 104, Gambrills, MD 21054 Phone: 443-814-9108
Dr. David Conrad Anderson, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2401 Brandermill Blvd, Suite 360, Gambrills, MD 21054 Phone: 410-721-9862 Fax: 410-721-9865

Kimberly Shannon Wallace, MD - Medicare Family Practice in Gambrills, MD