Shawn Marie Wallace, CRNP in Flourtown, PA - Medicare Nurse Practitioner

Shawn Marie Wallace, CRNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Flourtown, Pennsylvania. She graduated from nursing school in 2018 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is 110 W Wissahickon Ave, Flourtown, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 248-7804.

Shawn Marie Wallace is licensed to practice in New Jersey (license number NJDCATEMP-006243) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1518430875.

Contact Information

	Shawn Marie Wallace, CRNP
	110 W Wissahickon Ave, Flourtown, PA 19031-1898
	(215) 248-7804
	Not Available

Map and Direction

Provider's Profile

Full Name	Shawn Marie Wallace
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	110 W Wissahickon Ave, Flourtown, Pennsylvania
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Shawn Marie Wallace graduated from nursing school in 2018

NPI Data:

NPI Number: 1518430875
Provider Enumeration Date: 01/09/2019
Last Update Date: 08/06/2022

Medicare PECOS Information:

PECOS PAC ID: 5294061776
Enrollment ID: I20201119003012

Medical Identifiers

Medical identifiers for Shawn Marie Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518430875	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	R235002 (Maryland)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	NJDCATEMP-006243 (New Jersey)	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. Shawn Marie Wallace allows following entities to bill medicare on her behalf.

Entity Name	Saint Joseph Villa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649279142 PECOS PAC ID: 1052586831 Enrollment ID: O20201119003001

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. Shawn Marie 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
Shawn Marie Wallace, CRNP 110 W Wissahickon Ave, Flourtown, PA 19031-1898 Ph: (215) 248-7804	Shawn Marie Wallace, CRNP 110 W Wissahickon Ave, Flourtown, PA 19031-1898 Ph: (215) 248-7804

Reviews and Comments

Nurse Practitioner Nurses in Flourtown, PA

Jahaira Roman, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1811 Bethlehem Pike, Flourtown, PA 19031 Phone: 215-845-5869
Mrs. Audrey Diane Scanlon, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1811 Bethlehem Pike Ste A108, Flourtown, PA 19031 Phone: 215-884-9959
Maria Davydova, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1811 Bethlehem Pike Ste 300, Flourtown, PA 19031 Phone: 215-402-0800
Mrs. Alannah Ryan, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 40 Weiss Ave, Flourtown, PA 19031 Phone: 215-233-5654
Mrs. Melissa Heather Sudduth, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1107 Bethlehem Pike, Suite 210, Flourtown, PA 19031 Phone: 267-440-2050 Fax: 267-440-2060
Patricia Wallace Belancio, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1722 Bethlehem Pike, Flourtown, PA 19031 Phone: 215-233-9700 Fax: 215-233-9710

Shawn Marie Wallace, CRNP - Medicare Nurse Practitioner in Flourtown, PA