Melissa Ann Wallace, CRNP in State College, PA

Melissa Ann Wallace, CRNP is a medicare enrolled "Nurse Practitioner - Family" in State College, Pennsylvania. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mount Nittany Medical Center Health Services Inc and her current practice location is 905 University Dr, State College, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (814) 238-8418.

Melissa Ann Wallace is licensed to practice in Pennsylvania (license number SP018172) 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 1023524501.

Contact Information

	Melissa Ann Wallace, CRNP
	905 University Dr, State College, PA 16801-6626
	(814) 238-8418
	(814) 234-2888

Map and Direction

Provider's Profile

Full Name	Melissa Ann Wallace
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	905 University Dr, State College, Pennsylvania
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:

Melissa Ann Wallace graduated from nursing school in 2017

NPI Data:

NPI Number: 1023524501
Provider Enumeration Date: 12/20/2017
Last Update Date: 11/07/2019

Medicare PECOS Information:

PECOS PAC ID: 9830458850
Enrollment ID: I20180122000897

Medical Identifiers

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

Identifier	Type	State	Issuer
1023524501	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	SP018172 (Pennsylvania)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mount Nittany Medical Center	State college, PA	Hospital
Penn Highland Dubois	Dubois, PA	Hospital
Penn Highlands Huntingdon	Huntingdon, PA	Hospital
Upmc Altoona	Altoona, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mount Nittany Medical Center Health Services Inc	8426136797	196

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. Melissa Ann Wallace allows following entities to bill medicare on her behalf.

Entity Name	Mount Nittany Medical Center Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164691499 PECOS PAC ID: 8426136797 Enrollment ID: O20081021000240

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. Melissa Ann 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
Melissa Ann Wallace, CRNP 905 University Dr, State College, PA 16801-6626 Ph: (814) 238-8418	Melissa Ann Wallace, CRNP 905 University Dr, State College, PA 16801-6626 Ph: (814) 238-8418

Reviews and Comments

Nurse Practitioner Nurses in State College, PA

Katy Nelson, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 476 Rolling Ridge Dr, State College, PA 16801 Phone: 814-689-4980
Kimberly Anne Handel, MSN, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1850 E Park Ave, Suite 310, State College, PA 16803 Phone: 814-863-8492
Michelle M. Black, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 Radnor Rd Ste 100, State College, PA 16801 Phone: 814-231-7868 Fax: 814-238-4169
Karen E. Cherinka, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1850 E Park Ave Ste 312, State College, PA 16803 Phone: 814-689-3156 Fax: 814-689-1954
Jennifer Nicole Bailey, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 211 Elmore Research Wing, University Park, State College, PA 16802 Phone: 814-865-4302 Fax: 814-865-0351
Lorella G Thomas, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Scenery Dr, State College, PA 16801 Phone: 814-231-4560 Fax: 814-231-6246

Melissa Ann Wallace, CRNP - Medicare Nurse Practitioner in State College, PA