Tamika Y Wallen, is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health, Adult" in Marlborough, Massachusetts. She graduated from nursing school in 2000 and has 24 years of diverse experience with area of expertise as Certified Clinical Nurse Specialist (cns). She is a member of the group practice Umass Memorial Medical Group Inc and her current practice location is
157 Union St, Marlborough, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(508) 486-5544.
Tamika Y Wallen is licensed to practice in Massachusetts (license number 230540) 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 1437250115.
Provider's Profile
| Full Name | Tamika Y Wallen |
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| Gender | Female |
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| Speciality | Certified Clinical Nurse Specialist (cns) |
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| Experience | 24 Years |
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| Location | 157 Union St, Marlborough, Massachusetts |
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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:
- Tamika Y Wallen graduated from nursing school in 2000
NPI Data:
- NPI Number: 1437250115
- Provider Enumeration Date: 09/26/2006
- Last Update Date: 12/08/2020
Medicare PECOS Information:
- PECOS PAC ID: 3476519349
- Enrollment ID: I20041203000021
Medical Identifiers
Medical identifiers for Tamika Y Wallen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1437250115 | NPI | - | NPPES |
| 110122379A | Medicaid | MA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | RN230540 (Massachusetts) | Secondary |
| 364SP0809X | Clinical Nurse Specialist - Psychiatric/mental Health, Adult | 230540 (Massachusetts) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Umass Memorial Medical Group Inc | 4284539891 | 1889 |
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. Tamika Y Wallen allows following entities to bill medicare on her behalf.
| Entity Name | Umass Memorial Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760445373
PECOS PAC ID: 4284539891
Enrollment ID: O20040113000267 |
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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. Tamika Y Wallen 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 |
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Tamika Y Wallen,
Po Box 415348,
Boston, MA 02241-5348
Ph: (800) 225-8885 | Tamika Y Wallen,
157 Union St,
Marlborough, MA 01752-1228
Ph: (508) 486-5544 |
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