Ms Laurie J Wallace, MS,RD,CDE in Bakersfield, CA - Medicare Dietitian, Registered Provider

Ms Laurie J Wallace, MS,RD,CDE is a medicare enrolled "Dietitian, Registered" provider in Bakersfield, California. Her current practice location is 9500 Stockdale Hwy Ste 203, Bakersfield, California. You can reach out to her office (for appointments etc.) via phone at (661) 587-8110.

Ms Laurie J Wallace is licensed to practice in * (Not Available) (license number ) 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 1316076367.

Contact Information

	Ms Laurie J Wallace, MS,RD,CDE
	9500 Stockdale Hwy Ste 203, Bakersfield, CA 93311-3621
	(661) 587-8110
	(661) 587-8220

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Laurie J Wallace
Gender	Female
Speciality	Dietitian, Registered
Location	9500 Stockdale Hwy Ste 203, Bakersfield, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316076367
Provider Enumeration Date: 03/05/2007
Last Update Date: 09/14/2022

Medicare PECOS Information:

PECOS PAC ID: 1052448768
Enrollment ID: I20100428000375

Medical Identifiers

Medical identifiers for Ms Laurie J Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316076367	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	(* (Not Available))	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. Ms Laurie J Wallace allows following entities to bill medicare on her behalf.

Provider Name	Dignity Health Medical Foundation
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1700803418 PECOS PAC ID: 7810800661 Enrollment ID: O20031107000709

Provider Name	Consolidated Tribal Health Project, Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1003826009 PECOS PAC ID: 1456260736 Enrollment ID: O20050714000893

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. Ms Laurie J 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
Ms Laurie J Wallace, MS,RD,CDE 3400 Data Dr, Rancho Cordova, CA 95670-7956 Ph: () -	Ms Laurie J Wallace, MS,RD,CDE 9500 Stockdale Hwy Ste 203, Bakersfield, CA 93311-3621 Ph: (661) 587-8110

Reviews and Comments

Dietitian, Registered in Bakersfield, CA

Mr. Jeremy Michael Partl, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 8625 Liberty Park Dr Ste 102, Bakersfield, CA 93311 Phone: 314-603-0949
Ana Elsa Sanders, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1430 Truxtun Ave, Suite 300, Bakersfield, CA 93301 Phone: 661-326-6490 Fax: 661-322-1418
Mrs. Priscilla Gloria Valadez, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 15023 Pams Way, Bakersfield, CA 93314 Phone: 661-340-0217
Kenia Cardona Velasco, RDN. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 815 Dr Martin Luther King Jr Blvd, Bakersfield, CA 93307 Phone: 661-862-5422
Jordan Dennis, MS, RD, CSP Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1700 Mount Vernon Ave, Bakersfield, CA 93306 Phone: 661-326-2000
Jill Allyson Gawne, MS, RD, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6600 Bridgeport Ln, Bakersfield, CA 93309 Phone: 661-487-2417
Kati L Delaurier, MS,RD,CLE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1524 27th St Ste 101, Bakersfield, CA 93301 Phone: 661-869-6581 Fax: 661-321-2213

Ms Laurie J Wallace, MS,RD,CDE - Medicare Dietitian in Bakersfield, CA