Dana Wallace, RN is a
Registered Nurse based in Cloverdale, Ohio. Dana Wallace is licensed to practice in Ohio (license number RN278652) and her current practice location is
13255 Road 22k, Cloverdale, Ohio. She can be reached at her office (for appointments etc.) via phone at
(419) 532-3747.
NPI number for Dana Wallace is 1255542858 and her current mailing address is 13255 Road 22k, Cloverdale, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255542858.
Provider's Profile
Full Name | Dana Wallace |
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Gender | Female |
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Speciality | Registered Nurse |
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Location | 13255 Road 22k, Cloverdale, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1255542858
- Provider Enumeration Date: 05/24/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dana Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255542858 | NPI | - | NPPES |
264014957703 | Medicaid | OH | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | RN278652 (Ohio) | Primary |
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 Wallace is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dana Wallace, RN 13255 Road 22k, Cloverdale, OH 45827-9454 Ph: (419) 532-3747 | Dana Wallace, RN 13255 Road 22k, Cloverdale, OH 45827-9454 Ph: (419) 532-3747 |
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