| Melanie Wallace, MED | |
|
7700 Us Highway 158, Stokesdale, NC 27357-9346 | |
| (336) 643-6301 | |
| Not Available |
| Full Name | Melanie Wallace |
|---|---|
| Gender | Female |
| Speciality | Qualified Speech Language Pathologist |
| Experience | 11 Years |
| Location | 7700 Us Highway 158, Stokesdale, North Carolina |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447718077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 11874 (North Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Calso Physical Therapy Llc | 0547523045 | 3 |
| Provider Name | Calso Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1790289387 PECOS PAC ID: 0547523045 Enrollment ID: O20180416001808 |
| Mailing Address | Practice Location Address |
|---|---|
| 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 |
Helina Chan, MA CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8025 Us Highway 158, Stokesdale, NC 27357 Phone: 336-643-8420 | |
Mrs. Adrienne Sherrill Gramberg, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8025 Us Highway 158, Stokesdale, NC 27357 Phone: 336-643-8420 | |
Megan Parr, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7700 Us Highway 158, Stokesdale, NC 27357 Phone: 336-643-6301 |