Ms Melynda Kaye Wallace, CRNA, APRN is a medicare enrolled "Nurse Practitioner" in Grantham, New Hampshire. Her current practice location is
151 Route 10 N Unit 2, Grantham, New Hampshire. You can reach out to her office (for appointments etc.) via phone at
(603) 309-3902.
Ms Melynda Kaye Wallace is licensed to practice in New Hampshire (license number 040072-23-11) 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 1881672137.
Provider's Profile
| Full Name | Ms Melynda Kaye Wallace |
|---|
| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 151 Route 10 N Unit 2, Grantham, New Hampshire |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Melynda Kaye Wallace attended and graduated from in
NPI Data:
- NPI Number: 1881672137
- Provider Enumeration Date: 01/06/2006
- Last Update Date: 04/22/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Ms Melynda Kaye Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881672137 | NPI | - | NPPES |
| 1008569 | Medicaid | VT | |
| 1008569 | Medicaid | NH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363L00000X | Nurse Practitioner | 040072-23-11 (New Hampshire) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | 040072-23 (New Hampshire) | Secondary |
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. Ms Melynda Kaye 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 |
|---|
Ms Melynda Kaye Wallace, CRNA, APRN
151 Route 10 N Unit 2,
Grantham, NH 03753-3621
Ph: (603) 309-3902 | Ms Melynda Kaye Wallace, CRNA, APRN
151 Route 10 N Unit 2,
Grantham, NH 03753-3621
Ph: (603) 309-3902 |
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