| Ms Katie Lynn Wallace, FNP-BC | |
|
67 S Bedford St Ste 101e, Burlington, MA 01803-5152 | |
| (781) 744-8085 | |
| Not Available |
| Full Name | Ms Katie Lynn Wallace |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 67 S Bedford St Ste 101e, Burlington, Massachusetts |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952703092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN2275454 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lahey Hospital & Medical Center, Burlington | Burlington, MA | Hospital |
| Winchester Hospital | Winchester, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dermphysicians Of New England Llc | 0749522969 | 6 |
| Entity Name | Lahey Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063447316 PECOS PAC ID: 2264336528 Enrollment ID: O20040629001269 |
| Entity Name | Beth Israel Lahey Health Primary Care, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568292423 PECOS PAC ID: 7719291434 Enrollment ID: O20160517000441 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Katie Lynn Wallace, FNP-BC 41 Mall Rd, Burlington, MA 01805-0002 Ph: (781) 744-8085 | Ms Katie Lynn Wallace, FNP-BC 67 S Bedford St Ste 101e, Burlington, MA 01803-5152 Ph: (781) 744-8085 |
Marlene A Brady, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20 Wall St, Burlington, MA 01803 Phone: 781-221-2600 Fax: 781-221-2510 | |
Thais Bitencourt Roberts, AGNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 41 Mall Rd, Burlington, MA 01805 Phone: 781-744-8000 | |
Deirdre Johanna Burke, NP, MPH Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Cambridge St Ste 380, Burlington, MA 01803 Phone: 781-653-4281 | |
Corinne Prigo, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 41 Mall Rd, Burlington, MA 01805 Phone: 781-744-8000 | |
Kayleigh Cavender, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 41 Burlington Mall Road, Burlington, MA 01805 Phone: 781-744-5100 | |
Nicole Annette Clarke Jagodowski, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 20 Wall St, Burlington, MA 01803 Phone: 781-221-2800 | |
Mrs. Jennifer Frias, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 41 Mall Rd, Burlington, MA 01805 Phone: 781-744-8132 Fax: 781-744-2273 |