Jacqueline M Wallace, PHYSICIAN in Columbia, MD - Medicare Obstetrics & Gynecology

Jacqueline M Wallace, PHYSICIAN is a medicare enrolled "Obstetrics & Gynecology" physician in Columbia, Maryland. Her current practice location is 10910 Little Patuxent Pkwy, Suite 100, Columbia, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 997-8444.

Jacqueline M Wallace is licensed to practice in Maryland (license number D0069282) 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 1912945155.

Contact Information

	Jacqueline M Wallace, PHYSICIAN
	10910 Little Patuxent Pkwy, Suite 100, Columbia, MD 21044-3078
	(410) 997-8444
	Not Available

Map and Direction

Physician's Profile

Full Name	Jacqueline M Wallace
Gender	Female
Speciality	Obstetrics & Gynecology
Location	10910 Little Patuxent Pkwy, Columbia, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912945155
Provider Enumeration Date: 06/02/2006
Last Update Date: 06/22/2010

Medicare PECOS Information:

PECOS PAC ID: 2264403237
Enrollment ID: I20091104000409

Medical Identifiers

Medical identifiers for Jacqueline M Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912945155	NPI	-	NPPES
101044156	Medicaid	PA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	MD059921L (Pennsylvania)	Secondary
207V00000X	Obstetrics & Gynecology	D0069282 (Maryland)	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. Jacqueline M Wallace allows following entities to bill medicare on her behalf.

Entity Name	Baltimore Medical System, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164138152 PECOS PAC ID: 5395653455 Enrollment ID: O20031121000651

Entity Name	St. Agnes Healthcare, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144250176 PECOS PAC ID: 9830092733 Enrollment ID: O20040128001146

Entity Name	Seton Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144409194 PECOS PAC ID: 7416037924 Enrollment ID: O20080122000384

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. Jacqueline M 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
Jacqueline M Wallace, PHYSICIAN 10910 Little Patuxent Pkwy, Suite 100, Columbia, MD 21044-3078 Ph: (410) 997-8444	Jacqueline M Wallace, PHYSICIAN 10910 Little Patuxent Pkwy, Suite 100, Columbia, MD 21044-3078 Ph: (410) 997-8444

Reviews and Comments

Obstetrics & Gynecology Doctors in Columbia, MD

Dr. Rona B Eisen, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 11065 Little Patuxent Pkwy, Suite 200, Columbia, MD 21044 Phone: 410-730-5700 Fax: 410-964-3231
Swati Saraiya, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 10710 Charter Dr, Medical Pavilion At Howard County-suite 200, Columbia, MD 21044 Phone: 410-884-8000 Fax: 410-740-8587
Dr. Carl Douglas Lord, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 9755 Patuxent Woods Dr Ste 100, Columbia, MD 21046 Phone: 800-762-6282
Dahna L Goldberg, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 6740 Alexander Bell Dr Ste 200, Columbia, MD 21046 Phone: 410-997-8444 Fax: 410-997-8832
Dr. Denise Michelle Kirkner-vourlos, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 10710 Charter Drive, Suite 200, Columbia, MD 21044 Phone: 973-926-4787 Fax: 973-923-7497
Donna M Neale, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 11065 Little Patuxent Pkwy, Center For Maternal And Fetal Medicine, Columbia, MD 21044 Phone: 410-740-7903 Fax: 410-720-8999
Adaku Mbagwu Ezeike, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 6740 Alexander Bell Dr Ste 200, Columbia, MD 21046 Phone: 410-997-8444 Fax: 410-997-8832

Jacqueline M Wallace, PHYSICIAN - Medicare Obstetrics & Gynecology in Columbia, MD