Valerie Elizabeth Wallace, RN in Chester, MD - Medicare Nurse Practitioner

Valerie Elizabeth Wallace, RN is a medicare enrolled "Nurse Practitioner - Family" in Chester, Maryland. Her current practice location is 1630 Main St Ste 101, Chester, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 604-6560.

Valerie Elizabeth Wallace is licensed to practice in Maryland (license number R192586) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1902375512.

Contact Information

	Valerie Elizabeth Wallace, RN
	1630 Main St Ste 101, Chester, MD 21619-2792
	(410) 604-6560
	Not Available

Map and Direction

Provider's Profile

Full Name	Valerie Elizabeth Wallace
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1630 Main St Ste 101, Chester, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902375512
Provider Enumeration Date: 11/13/2018
Last Update Date: 02/10/2022

Medicare PECOS Information:

PECOS PAC ID: 8628315546
Enrollment ID: I20190130000372

Medical Identifiers

Medical identifiers for Valerie Elizabeth Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902375512	NPI	-	NPPES
R192586	Other	MD	CERTIFIED REGISTERED NURSE PRACTITIONER
R192586	Other	MD	REGISTERED NURSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	R192586 (Maryland)	Secondary
207Q00000X	Family Medicine	R192586 (Maryland)	Secondary
363LF0000X	Nurse Practitioner - Family	R192586 (Maryland)	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. Valerie Elizabeth Wallace allows following entities to bill medicare on her behalf.

Entity Name	Luminis Health Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073580205 PECOS PAC ID: 2860447315 Enrollment ID: O20050317000146

Entity Name	Umms Ambulatory Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487251997 PECOS PAC ID: 8426461427 Enrollment ID: O20210113000074

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. Valerie Elizabeth 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
Valerie Elizabeth Wallace, RN 446 Alder Trl, Crownsville, MD 21032-1642 Ph: (434) 989-2774	Valerie Elizabeth Wallace, RN 1630 Main St Ste 101, Chester, MD 21619-2792 Ph: (410) 604-6560

Reviews and Comments

Nurse Practitioner Nurses in Chester, MD

Ms. Stephanie Rose Tippett, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2 Chester Plz, Chester, MD 21619 Phone: 443-249-3232 Fax: 443-249-3817
Olivia Jacquelyn Warner, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 25 Kent Town Market, Chester, MD 21619 Phone: 667-343-9501
Sarah Callanan, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1630 Main St, Suite 101, Chester, MD 21619 Phone: 410-604-6560
Mrs. Hannah Baxter, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1630 Main St Ste 101, Chester, MD 21619 Phone: 140-604-6560
Joyce Flynt, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1630 Main St Ste 101, Chester, MD 21619 Phone: 410-604-6560
Mrs. Vaneica Dawn Nordhoff, CRNP-F Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1630 Main St, Chester, MD 21619 Phone: 410-604-6560
Stephanie Robinson, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2 Chester Plz, Chester, MD 21619 Phone: 443-249-3232

Valerie Elizabeth Wallace, RN - Medicare Nurse Practitioner in Chester, MD