Katie Justine Wallace, FNP-BC in Mashpee, MA - Medicare Nurse Practitioner

Katie Justine Wallace, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Mashpee, Massachusetts. She graduated from nursing school in 2014 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Physicians Of Falmouth Hospital and her current practice location is Mashpee Family Medicine 5 Industrial Drive, Suite 100, Mashpee, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (508) 477-4282.

Katie Justine Wallace is licensed to practice in Massachusetts (license number RN2264353) 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 1790151967.

Contact Information

	Katie Justine Wallace, FNP-BC
	Mashpee Family Medicine 5 Industrial Drive, Suite 100, Mashpee, MA 02649
	(508) 477-4282
	(508) 539-6134

Map and Direction

Provider's Profile

Full Name	Katie Justine Wallace
Gender	Female
Speciality	Nurse Practitioner
Experience	11 Years
Location	Mashpee Family Medicine 5 Industrial Drive, Mashpee, Massachusetts
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:

Katie Justine Wallace graduated from nursing school in 2014

NPI Data:

NPI Number: 1790151967
Provider Enumeration Date: 08/11/2015
Last Update Date: 01/04/2016

Medicare PECOS Information:

PECOS PAC ID: 2668769159
Enrollment ID: I20160927002405

Medical Identifiers

Medical identifiers for Katie Justine Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790151967	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	RN2264353 (Massachusetts)	Secondary
363LF0000X	Nurse Practitioner - Family	RN2264353 (Massachusetts)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Falmouth Hospital	Falmouth, MA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Physicians Of Falmouth Hospital	6800051970	64

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. Katie Justine Wallace allows following entities to bill medicare on her behalf.

Entity Name	Medical Affiliates Of Cape Cod Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770534927 PECOS PAC ID: 3577471564 Enrollment ID: O20040510001010

Entity Name	Physicians Of Falmouth Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821363698 PECOS PAC ID: 6800051970 Enrollment ID: O20120625000127

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. Katie Justine 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
Katie Justine Wallace, FNP-BC 5 Industrial Drive, Mashpee Family Medicine, Suite 100, Mashpee, MA 02649-3544 Ph: (508) 477-4282	Katie Justine Wallace, FNP-BC Mashpee Family Medicine 5 Industrial Drive, Suite 100, Mashpee, MA 02649 Ph: (508) 477-4282

Reviews and Comments

Nurse Practitioner Nurses in Mashpee, MA

Allegra P Mcelroy, RN FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 107 Commercial St, Mashpee, MA 02649 Phone: 508-477-7090 Fax: 508-477-7028
Olivia Lieberman, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 107 Commercial St, Mashpee, MA 02649 Phone: 508-477-7090
Dianne Wells, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5 Industrial Dr, Suite 100, Mashpee, MA 02649 Phone: 508-477-4282 Fax: 508-539-6134
Alissa A Devito, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5 Industrial Dr, Suite 107, Mashpee, MA 02649 Phone: 508-539-6220 Fax: 508-539-6223
Kristin Mcavoy, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 107 Commercial St, Mashpee, MA 02649 Phone: 508-477-7090
Emily Elgert, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 107 Commercial St, Mashpee, MA 02649 Phone: 508-477-7090
Ms. Cheryl Ann Rothwell, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5 Industrial Drive, Mashpee Family Medicine Suite 100, Mashpee, MA 02649 Phone: 508-477-4282 Fax: 508-539-6134

Katie Justine Wallace, FNP-BC - Medicare Nurse Practitioner in Mashpee, MA