Melanie Wallace, MED is a medicare enrolled "Speech-language Pathologist" provider in Stokesdale, North Carolina. She graduated from medical school in 2015 and has 11 years of diverse experience with area of expertise as Qualified Speech Language Pathologist. She is a member of the group practice Calso Physical Therapy Llc and her current practice location is
7700 Us Highway 158, Stokesdale, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(336) 643-6301.
Melanie Wallace is licensed to practice in North Carolina (license number 11874) 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 1447718077.
Healthcare Provider's Profile
| Full Name | Melanie Wallace |
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| Gender | Female |
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| Speciality | Qualified Speech Language Pathologist |
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| Experience | 11 Years |
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| Location | 7700 Us Highway 158, Stokesdale, North Carolina |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Melanie Wallace graduated from medical school in 2015
NPI Data:
- NPI Number: 1447718077
- Provider Enumeration Date: 03/02/2019
- Last Update Date: 03/02/2019
Medicare PECOS Information:
- PECOS PAC ID: 3971973793
- Enrollment ID: I20230111002700
Medical Identifiers
Medical identifiers for Melanie Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1447718077 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 235Z00000X | Speech-language Pathologist | 11874 (North Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Calso Physical Therapy Llc | 0547523045 | 3 |
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. Melanie Wallace allows following entities to bill medicare on her behalf.
| Provider Name | Calso Physical Therapy Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1790289387
PECOS PAC ID: 0547523045
Enrollment ID: O20180416001808 |
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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. Melanie 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 |
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Melanie Wallace, MED
2504 Westmoreland Dr,
Greensboro, NC 27408-5323
Ph: (336) 707-3370 | Melanie Wallace, MED
7700 Us Highway 158,
Stokesdale, NC 27357-9346
Ph: (336) 643-6301 |
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