Mary Wallace, - Couples Therapy in Half Moon Bay, CA

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Mary Wallace, is a Registered Nurse - Psychiatric/mental Health based in Half Moon Bay, California. Mary Wallace is licensed to practice in California (license number 219605) and her current practice location is 225 Cabrillo Hwy S, Suite 200a, Half Moon Bay, California. She can be reached at her office (for appointments etc.) via phone at (650) 573-3724.

NPI number for Mary Wallace is 1639297021 and her current mailing address is 225 Cabrillo Hwy S, Suite 200a, Half Moon Bay, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1639297021.

Contact Information

Mary Wallace,
225 Cabrillo Hwy S, Suite 200a,
Half Moon Bay, CA 94019-8200
(650) 573-3724
(650) 726-4963

Map and Direction


Healthcare Provider's Profile

Full NameMary Wallace
GenderFemale
SpecialityRegistered Nurse - Psychiatric/mental Health
Location225 Cabrillo Hwy S, Half Moon Bay, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1639297021
  • Provider Enumeration Date: 03/26/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mary Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639297021NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
106H00000XMarriage & Family Therapist MFC31243 (California)Primary
163WP0808XRegistered Nurse - Psychiatric/mental Health 219605 (California)Primary

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. Mary Wallace is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mary Wallace,
225 Cabrillo Hwy S, Suite 200a,
Half Moon Bay, CA 94019-8200

Ph: (650) 573-3724		Mary Wallace,
225 Cabrillo Hwy S, Suite 200a,
Half Moon Bay, CA 94019-8200

Ph: (650) 573-3724

Reviews and Comments


Registered Nurse in Half Moon Bay, CA


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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