Ms Mary Elise Wallace, MSRD/LD - Medicare Dietitian in Rockwall, TX

Ms Mary Elise Wallace, MSRD/LD is a medicare enrolled "Dietitian, Registered" provider in Rockwall, Texas. Her current practice location is 6705 Heritage Pkwy Ste 104, Rockwall, Texas. You can reach out to her office (for appointments etc.) via phone at (972) 412-7700.

Ms Mary Elise Wallace is licensed to practice in Texas (license number DT03189) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1013451608.

Contact Information

Ms Mary Elise Wallace, MSRD/LD
6705 Heritage Pkwy Ste 104,
Rockwall, TX 75087-8729
(972) 412-7700
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMs Mary Elise Wallace
GenderFemale
Speciality
Experience Years
Location6705 Heritage Pkwy Ste 104, Rockwall, Texas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Mary Elise Wallace attended and graduated from in
  NPI Data:
  • NPI Number: 1013451608
  • Provider Enumeration Date: 12/15/2016
  • Last Update Date: 08/12/2021
  Medicare PECOS Information:
  • PECOS PAC ID:
  • Enrollment ID:

Medical Identifiers

Medical identifiers for Ms Mary Elise Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013451608NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered DT03189 (Texas)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. Ms Mary Elise 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 AddressPractice Location Address
Ms Mary Elise Wallace, MSRD/LD
Po Box 127,
Rockwall, TX 75087-0127

Ph: (972) 412-7700
Ms Mary Elise Wallace, MSRD/LD
6705 Heritage Pkwy Ste 104,
Rockwall, TX 75087-8729

Ph: (972) 412-7700

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.