Dr Reginald M Wallen, MD in Temple Hills, MD

Dr Reginald M Wallen, MD is a medicare enrolled "Family Medicine" physician in Temple Hills, Maryland. His current practice location is 6104 Old Branch Avenue, Kaiser Permanente, Ppqa, 6 West, Attn Theresa Brooks, Temple Hills, Maryland. You can reach out to his office (for appointments etc.) via phone at (301) 702-6100.

Dr Reginald M Wallen is licensed to practice in Maryland (license number D35317) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1225194210.

Contact Information

	Dr Reginald M Wallen, MD
	6104 Old Branch Avenue, Kaiser Permanente, Ppqa, 6 West, Attn Theresa Brooks, Temple Hills, MD 20748-2518
	(301) 702-6100
	(301) 702-6367

Map and Direction

Physician's Profile

Full Name	Dr Reginald M Wallen
Gender	Male
Speciality	Family Medicine
Location	6104 Old Branch Avenue, Temple Hills, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225194210
Provider Enumeration Date: 12/28/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 6800784315
Enrollment ID: I20090604000284

Medical Identifiers

Medical identifiers for Dr Reginald M Wallen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225194210	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	D35317 (Maryland)	Primary
207Q00000X	Family Medicine	0101044800 (Virginia)	Secondary
207Q00000X	Family Medicine	MD16350 (District Of Columbia)	Secondary

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 Reginald M Wallen allows following entities to bill medicare on his behalf.

Entity Name	Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952461816 PECOS PAC ID: 3779495858 Enrollment ID: O20040105000308

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 Reginald M 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
Dr Reginald M Wallen, MD 2101 East Jefferson Street, Kaiser Permanente, Ppqa, 6 West, Attn: Theresa Brooks, Rockville, MD 20852 Ph: (301) 816-6660	Dr Reginald M Wallen, MD 6104 Old Branch Avenue, Kaiser Permanente, Ppqa, 6 West, Attn Theresa Brooks, Temple Hills, MD 20748-2518 Ph: (301) 702-6100

Reviews and Comments

Family Medicine Doctors in Temple Hills, MD

Dr. Aisha Peterson Johnson, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6104 Old Branch Avenue, Temple Hills, MD 20748 Phone: 301-702-6100 Fax: 301-702-6367
Dr. Sharada Jain, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 6104 Old Branch Avenue, Temple Hills, MD 20748 Phone: 301-702-6100 Fax: 301-702-6366
Dr. Wendy Ann J Hutcheson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6104 Old Branch Avenue, Temple Hills, MD 20748 Phone: 301-702-6100 Fax: 301-702-6366
Jennifer Ah-kee, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6104 Old Branch Ave, Temple Hills, MD 20748 Phone: 301-702-6100 Fax: 301-702-6209
Dr. Suchitra M Balakrishnan, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6104 Old Branch Avenue, Temple Hills, MD 20748 Phone: 301-702-6100 Fax: 301-702-6366
Ranjit Yelamanchi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6104 Old Branch Ave, Temple Hills, MD 20748 Phone: 301-702-6100 Fax: 301-702-6209

Dr Reginald M Wallen, MD - Medicare Family Medicine in Temple Hills, MD