Mariah Wallace, PA-C in Frederick, MD

Mariah Wallace, PA-C is a Physician Assistant - Medical based in Frederick, Maryland. Mariah Wallace is licensed to practice in Maryland (license number C0009066) and her current practice location is 87 Thomas Johnson Dr Ste 101, Frederick, Maryland. She can be reached at her office (for appointments etc.) via phone at (301) 694-0606.

NPI number for Mariah Wallace is 1124806682 and her current mailing address is 87 Thomas Johnson Dr Ste 101, Frederick, Maryland. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124806682.

Contact Information

	Mariah Wallace, PA-C
	87 Thomas Johnson Dr Ste 101, Frederick, MD 21702-4427
	(301) 694-0606
	Not Available

Map and Direction

Provider's Profile

Full Name	Mariah Wallace
Gender	Female
Speciality	Physician Assistant - Medical
Location	87 Thomas Johnson Dr Ste 101, Frederick, Maryland
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1124806682
Provider Enumeration Date: 09/18/2023
Last Update Date: 06/23/2025

Medical Identifiers

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

Identifier	Type	State	Issuer
1124806682	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	C0009066 (Maryland)	Primary

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. Mariah Wallace is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mariah Wallace, PA-C 87 Thomas Johnson Dr Ste 101, Frederick, MD 21702-4427 Ph: () -	Mariah Wallace, PA-C 87 Thomas Johnson Dr Ste 101, Frederick, MD 21702-4427 Ph: (301) 694-0606

Reviews and Comments

Physician Assistant Nurses in Frederick, MD

Ms. Erin Louise Mcclure, P.A.-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 75 Thomas Johnson Dr Ste H, Frederick, MD 21702 Phone: 240-453-0050 Fax: 240-453-0053
Danika Ngozika Ani, Physician Assistant Medicare: Medicare Enrolled Practice Location: 100 S Market St, Frederick, MD 21701 Phone: 301-600-1393
Jonathan Parker, Physician Assistant Medicare: Medicare Enrolled Practice Location: 501 W 7th St, Frederick, MD 21701 Phone: 301-698-8374
Evelyn Major, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7109 Guilford Dr Ste 300, Frederick, MD 21704 Phone: 301-695-6800
Ms. Roberta R Taylor, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 85 Thomas Johnson Ct, Suite B, Frederick, MD 21702 Phone: 301-663-9440 Fax: 301-663-4602
Mrs. Beth Renee Smolko, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 70 Thomas Johnson Dr, Suite 101, Frederick, MD 21702 Phone: 301-668-9393 Fax: 301-668-4480
Kelly Hausenbauer, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 310 W Ninth St, Frederick, MD 21701 Phone: 301-695-6800 Fax: 301-695-6891

Mariah Wallace, PA-C - Physician Assistant in Frederick, MD