Mrs Talia Nicole Wallace, FNP-C | |
10215 Fernwood Rd Ste 100, Bethesda, MD 20817-1183 | |
(301) 493-4440 | |
(301) 493-9778 |
Full Name | Mrs Talia Nicole Wallace |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 8 Years |
Location | 10215 Fernwood Rd Ste 100, Bethesda, Maryland |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063937753 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | AC002032 (Maryland) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Chesapeake Regional Medical Center | Chesapeake, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ivyrehab Sept, Llc | 7911990908 | 1137 |
Chesapeake Regional Medical Group | 8426113663 | 98 |
Entity Name | Kirven Orthopedic Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144403262 PECOS PAC ID: 4789600693 Enrollment ID: O20051020000291 |
Entity Name | Chesapeake Regional Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699940270 PECOS PAC ID: 8426113663 Enrollment ID: O20090223000187 |
Mailing Address | Practice Location Address |
---|---|
Mrs Talia Nicole Wallace, FNP-C 10215 Fernwood Rd Ste 100, Bethesda, MD 20817-1183 Ph: (301) 493-4440 | Mrs Talia Nicole Wallace, FNP-C 10215 Fernwood Rd Ste 100, Bethesda, MD 20817-1183 Ph: (301) 493-4440 |
Mr. Michael S Stagliano, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10 Center Dr Bldg 10, Bethesda, MD 20892 Phone: 240-507-0883 Fax: 301-480-5598 | |
Mrs. Dina L Galitz, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8600 Old Georgetown Rd, Bethesda, MD 20814 Phone: 301-896-2654 | |
Mr. Hector Erazo, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8901 Wisconsin Ave, Bethesda, MD 20889 Phone: 301-295-6400 | |
Eliza Staley, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4520 E West Hwy Ste 775, Bethesda, MD 20814 Phone: 667-668-2566 | |
Dr. Margaret Farmar Keil, CRNP, PHD Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: National Institutes Of Health, Nichd, 10 Center Drive, Bldg 10 Room 1 E 3330, Bethesda, MD 20892 Phone: 301-435-3391 Fax: 301-402-1073 | |
Dally Alex, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4954 North Palmer Rd, America Building 19, Third Floor, Bethesda, MD 20889 Phone: 301-319-2900 Fax: 301-319-2901 | |
Olivia Marie Remsberg, CRNP-FAMILY Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9000 Rockville Pike, Bethesda, MD 20892 Phone: 301-496-4000 |