Mary Elizabeth Wallace, DNP, CRNP, A-GNP-C in Oxon Hill, MD

Mary Elizabeth Wallace, DNP, CRNP, A-GNP-C is a medicare enrolled "Nurse Practitioner - Adult Health" in Oxon Hill, Maryland. She graduated from nursing school in 2022 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Kinetic Primary Care and her current practice location is 6178 Oxon Hill Rd, Oxon Hill, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 292-9220.

Mary Elizabeth Wallace is licensed to practice in Maryland (license number R228560) 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 1295503829.

Contact Information

	Mary Elizabeth Wallace, DNP, CRNP, A-GNP-C
	6178 Oxon Hill Rd, Oxon Hill, MD 20745-3109
	(301) 292-9220
	Not Available

Map and Direction

Provider's Profile

Full Name	Mary Elizabeth Wallace
Gender	Female
Speciality	Nurse Practitioner
Experience	3 Years
Location	6178 Oxon Hill Rd, Oxon Hill, 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:

Mary Elizabeth Wallace graduated from nursing school in 2022

NPI Data:

NPI Number: 1295503829
Provider Enumeration Date: 12/13/2023
Last Update Date: 12/13/2023

Medicare PECOS Information:

PECOS PAC ID: 2466990650
Enrollment ID: I20240820000069

Medical Identifiers

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

Identifier	Type	State	Issuer
1295503829	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	R228560 (Maryland)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kinetic Primary Care	5294192779	5

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. Mary Elizabeth Wallace allows following entities to bill medicare on her behalf.

Entity Name	Kinetic Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285228585 PECOS PAC ID: 5294141909 Enrollment ID: O20220721000588

Entity Name	Kinetic Primary Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528761897 PECOS PAC ID: 5294192779 Enrollment ID: O20230530001270

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. Mary Elizabeth 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
Mary Elizabeth Wallace, DNP, CRNP, A-GNP-C 6178 Oxon Hill Rd, Oxon Hill, MD 20745-3109 Ph: (301) 292-9220	Mary Elizabeth Wallace, DNP, CRNP, A-GNP-C 6178 Oxon Hill Rd, Oxon Hill, MD 20745-3109 Ph: (301) 292-9220

Reviews and Comments

Nurse Practitioner Nurses in Oxon Hill, MD

Freda Ansah-larbi, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6196 Oxon Hill Rd Ste 540, Oxon Hill, MD 20745 Phone: 301-686-1665 Fax: 301-686-1779
Dr. Betty Arkhurst, DNP,FNP-C, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6188 Oxon Hill Rd Ste 400, Oxon Hill, MD 20745 Phone: 240-614-6347
Maurice Graham, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6178 Oxon Hill Rd Ste 300, Oxon Hill, MD 20745 Phone: 240-210-5520
Coleen Harbin, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 137 National Plz Ste 300, Oxon Hill, MD 20745 Phone: 301-799-4902
Jeneil Carter, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 120 Waterfront St, Oxon Hill, MD 20745 Phone: 301-567-6767
Tiara Christine Pitts, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6196 Oxon Hill Rd Ste 610, Oxon Hill, MD 20745 Phone: 301-669-1870
Mrs. Stephanie Powell-gillis, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5620 Saint Barnabas Rd, Oxon Hill, MD 20745 Phone: 202-276-9806

Mary Elizabeth Wallace, DNP, CRNP, A-GNP-C - Medicare Nurse Practitioner in Oxon Hill, MD