Dr Rachel Wallace Tellez, MD is a medicare enrolled "Pediatrics" physician in W. St. Paul, Minnesota. Her current practice location is
153 Cesar Chavez St, W. St. Paul, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(651) 222-1816.
Dr Rachel Wallace Tellez is licensed to practice in Minnesota (license number 56008) 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 1245391432.
Physician's Profile
Full Name | Dr Rachel Wallace Tellez |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 153 Cesar Chavez St, W. St. Paul, Minnesota |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1245391432
- Provider Enumeration Date: 12/12/2006
- Last Update Date: 06/01/2023
Medicare PECOS Information:
- PECOS PAC ID: 4385731975
- Enrollment ID: I20170328000605
Medical Identifiers
Medical identifiers for Dr Rachel Wallace Tellez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245391432 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 56008 (Minnesota) | 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. Dr Rachel Wallace Tellez allows following entities to bill medicare on her behalf.
Entity Name | Group Health Plan Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
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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. Dr Rachel Wallace Tellez 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 |
Dr Rachel Wallace Tellez, MD 3714 Farmstead Path, Woodbury, MN 55129-6723 Ph: (202) 316-5633 | Dr Rachel Wallace Tellez, MD 153 Cesar Chavez St, W. St. Paul, MN 55107-2226 Ph: (651) 222-1816 |
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