Jillian Alexandra Wallen, BDS in Omaha, NE

Jillian Alexandra Wallen, BDS is a medicare enrolled "Dentist - Pediatric Dentistry" provider in Omaha, Nebraska. Her current practice location is 444 So. 44th Street, Unmc Pediatric Dentistry, Omaha, Nebraska. You can reach out to her office (for appointments etc.) via phone at (402) 559-7954.

Jillian Alexandra Wallen is licensed to practice in Maryland (license number LL539) 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 1750555793.

Contact Information

	Jillian Alexandra Wallen, BDS
	444 So. 44th Street, Unmc Pediatric Dentistry, Omaha, NE 68198-5450
	(402) 559-7954
	(402) 559-9307

Map and Direction

Healthcare Provider's Profile

Full Name	Jillian Alexandra Wallen
Gender	Female
Speciality	Dentist - Pediatric Dentistry
Location	444 So. 44th Street, Omaha, Nebraska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750555793
Provider Enumeration Date: 04/22/2008
Last Update Date: 10/19/2011

Medicare PECOS Information:

PECOS PAC ID: 0648556423
Enrollment ID: I20170410001264

Medical Identifiers

Medical identifiers for Jillian Alexandra Wallen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750555793	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223P0221X	Dentist - Pediatric Dentistry	LL539 (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. Jillian Alexandra Wallen allows following entities to bill medicare on her behalf.

Entity Name	Charles Drew Health Center Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255302170 PECOS PAC ID: 9830170653 Enrollment ID: O20040527000621

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. Jillian Alexandra 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
Jillian Alexandra Wallen, BDS 444 So. 44th Street, Unmc Pediatric Dentistry, Omaha, NE 68198-5450 Ph: (402) 559-7954	Jillian Alexandra Wallen, BDS 444 So. 44th Street, Unmc Pediatric Dentistry, Omaha, NE 68198-5450 Ph: (402) 559-7954

Reviews and Comments

Dentist in Omaha, NE

Dr. Mark Thomas Chase, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 8424 W Center Rd, Suite 100, Omaha, NE 68124 Phone: 402-397-1300 Fax: 402-397-6449
Dr. Peter Roy Straub, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 15909 W Maple Rd, Suite 102, Omaha, NE 68116 Phone: 402-991-6965
Dr. Joseph Anthony Ramirez, DDS Dentist Medicare: Medicare Enrolled Practice Location: 12100 W Center Rd, Suite 521, Omaha, NE 68144 Phone: 402-333-3343 Fax: 402-333-3344
James M Heit, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 13215 Birch Dr, Suite 100, Omaha, NE 68164 Phone: 402-390-0770
Dr. Gregory L Garro, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3525 N 147th St, Suite 213, Omaha, NE 68116 Phone: 402-493-8900 Fax: 402-933-2957
Phillip Tracy Brigden, D.D.S. Dentist Medicare: May Accept Medicare Assignments Practice Location: 11919 Grant St Ste 140, Omaha, NE 68164 Phone: 402-493-4175 Fax: 877-811-8129
Chelsea E Wiggins, DDS Dentist Medicare: Medicare Enrolled Practice Location: 5321 Center St, Omaha, NE 68106 Phone: 402-551-2238

Jillian Alexandra Wallen, BDS - Medicare Dentist in Omaha, NE