Arlene Wallace, APN, CNM is a medicare enrolled "Advanced Practice Midwife" physician in Chicago, Illinois. Her current practice location is
1740 W Taylor St, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at
(866) 600-2273.
Arlene Wallace is licensed to practice in Illinois (license number 209003103) 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 1699858878.
Physician's Profile
| Full Name | Arlene Wallace |
|---|
| Gender | Female |
|---|
| Speciality | Advanced Practice Midwife |
|---|
| Location | 1740 W Taylor St, Chicago, Illinois |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1699858878
- Provider Enumeration Date: 10/23/2006
- Last Update Date: 04/30/2019
Medicare PECOS Information:
- PECOS PAC ID: 1759434574
- Enrollment ID: I20090727000564
Medical Identifiers
Medical identifiers for Arlene Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699858878 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207V00000X | Obstetrics & Gynecology | 041-160599 (Illinois) | Secondary |
| 367A00000X | Advanced Practice Midwife | 209003103 (Illinois) | 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. Arlene Wallace allows following entities to bill medicare on her behalf.
| Entity Name | The Board Of Trustees Of The University Of Illinois |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1386863819
PECOS PAC ID: 3072422716
Enrollment ID: O20031112000158 |
|---|
| Entity Name | The Board Of Trustees Of The University Of Illinois |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1154541936
PECOS PAC ID: 3072422716
Enrollment ID: O20031201000021 |
|---|
| Entity Name | Humboldt Park Health |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1740417153
PECOS PAC ID: 8921907072
Enrollment ID: O20040107000704 |
|---|
| Entity Name | Primecare Community Health, Inc. |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1558532739
PECOS PAC ID: 6204722077
Enrollment ID: O20040227000011 |
|---|
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. Arlene 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 |
|---|
Arlene Wallace, APN, CNM
809 S Marshfield Ave, 9th Floor (m/c 732),
Chicago, IL 60612-4305
Ph: (312) 996-7699 | Arlene Wallace, APN, CNM
1740 W Taylor St,
Chicago, IL 60612-7232
Ph: (866) 600-2273 |
Reviews and Comments