Mrs Kimberly Veronica Wallace, CNM APRN - Medicare Advanced Practice Midwife in Massillon, OH

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Mrs Kimberly Veronica Wallace, CNM APRN is a medicare enrolled "Advanced Practice Midwife" in Massillon, Ohio. Her current practice location is 100 Lillian Gish Blvd Sw Ste 201, Massillon, Ohio. You can reach out to her office (for appointments etc.) via phone at (330) 809-0460.

Mrs Kimberly Veronica Wallace is licensed to practice in Ohio (license number APRN.CNM.019392) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1144881640.

Contact Information

Mrs Kimberly Veronica Wallace, CNM APRN
100 Lillian Gish Blvd Sw Ste 201,
Massillon, OH 44647-6500
(330) 809-0460
Not Available

Map and Direction




Provider's Profile

Full NameMrs Kimberly Veronica Wallace
GenderFemale
SpecialityAdvanced Practice Midwife
Location100 Lillian Gish Blvd Sw Ste 201, Massillon, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1144881640
  • Provider Enumeration Date: 06/25/2019
  • Last Update Date: 01/12/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1850621996
  • Enrollment ID: I20191002003056

Medical Identifiers

Medical identifiers for Mrs Kimberly Veronica Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144881640NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367A00000XAdvanced Practice Midwife APRN.CNM.019392 (Ohio)Primary

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. Mrs Kimberly Veronica Wallace allows following entities to bill medicare on her behalf.
Entity NameNicholas E Sherock Jr Do Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700193810
PECOS PAC ID: 1759574015
Enrollment ID: O20101019000614

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. Mrs Kimberly Veronica 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 AddressPractice Location Address
Mrs Kimberly Veronica Wallace, CNM APRN
3574 Melrose Dr,
Wooster, OH 44691-1857

Ph: (614) 370-1035		Mrs Kimberly Veronica Wallace, CNM APRN
100 Lillian Gish Blvd Sw Ste 201,
Massillon, OH 44647-6500

Ph: (330) 809-0460

Reviews and Comments


Advanced Practice Midwife Nurses in Massillon, OH

Jessica Marie Costa, MSN,CNM
Advanced Practice Midwife
Medicare: Accepting Medicare Assignments
Practice Location: 123 3rd St Se, Massillon, OH 44646
Phone: 330-832-2229    
Mrs. Nina Marie Wilson, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 100 Lillian Gish Blvd Sw Ste 201, Massillon, OH 44647
Phone: 330-809-0460    Fax: 330-809-0560

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.