Dana Marie Wallace, CRNP FNP-C in Philadelphia, PA

Dana Marie Wallace, CRNP FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Philadelphia, Pennsylvania. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Main Line Healthcare and her current practice location is 5040 City Ave, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 877-2116.

Dana Marie Wallace is licensed to practice in Pennsylvania (license number SP018488) 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 1861989279.

Contact Information

	Dana Marie Wallace, CRNP FNP-C
	5040 City Ave, Philadelphia, PA 19131-1435
	(215) 877-2116
	Not Available

Map and Direction

Provider's Profile

Full Name	Dana Marie Wallace
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	5040 City Ave, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dana Marie Wallace graduated from nursing school in 2017

NPI Data:

NPI Number: 1861989279
Provider Enumeration Date: 04/20/2018
Last Update Date: 04/20/2018

Medicare PECOS Information:

PECOS PAC ID: 9133483928
Enrollment ID: I20180502001835

Medical Identifiers

Medical identifiers for Dana Marie Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861989279	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	SP018488 (Pennsylvania)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Main Line Hospital Lankenau	Wynnewood, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Main Line Healthcare	1951215201	907

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. Dana Marie Wallace allows following entities to bill medicare on her behalf.

Entity Name	Main Line Healthcare
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922077643 PECOS PAC ID: 1951215201 Enrollment ID: O20040308000373

Entity Name	Rediclinic Of Pa, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649672874 PECOS PAC ID: 1456653237 Enrollment ID: O20160111002414

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. Dana Marie 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
Dana Marie Wallace, CRNP FNP-C 25 Dudley Ave, Lansdowne, PA 19050-2802 Ph: (484) 477-5063	Dana Marie Wallace, CRNP FNP-C 5040 City Ave, Philadelphia, PA 19131-1435 Ph: (215) 877-2116

Reviews and Comments

Nurse Practitioner Nurses in Philadelphia, PA

Ms. Nicole Marie Koepke, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3401 Civic Center Blvd, Children's Hospital Of Philadelphia - Emergency Med, Philadelphia, PA 19104 Phone: 215-590-1944 Fax: 215-590-4454
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Mr. Charles E Warrington Jr., CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 Walnut St Fl 7, Medical Office Building, Philadelphia, PA 19107 Phone: 215-955-2165 Fax: 215-923-7957
Carley Bober, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 34th Street And Civic Center Blvd, Cardiac Center At Chop, Philadelphia, PA 19104 Phone: 215-590-6051 Fax: 215-590-1340
Ms. Candyce S Dorsey, CRNP, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1408 S Broad St, Philadelphia, PA 19146 Phone: 215-755-0700
Ling Fan, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 111 S 11th St, Gibbon Bldg., Suite 6270, Philadelphia, PA 19107 Phone: 215-955-8304

Dana Marie Wallace, CRNP FNP-C - Medicare Nurse Practitioner in Philadelphia, PA