Dr Eva Alicja Wallace, DNP in Bridgeport, CT - Medicare Nurse Practitioner

Dr Eva Alicja Wallace, DNP is a medicare enrolled "Nurse Practitioner - Family" in Bridgeport, Connecticut. 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 Northeast Medical Group Inc and her current practice location is 267 Grant St, Bridgeport, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 384-3000.

Dr Eva Alicja Wallace is licensed to practice in Connecticut (license number 7128) 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 1962928283.

Contact Information

	Dr Eva Alicja Wallace, DNP
	267 Grant St, Bridgeport, CT 06610-2805
	(203) 384-3000
	Not Available

Map and Direction

Provider's Profile

Full Name	Dr Eva Alicja Wallace
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	267 Grant St, Bridgeport, Connecticut
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:

Dr Eva Alicja Wallace graduated from nursing school in 2017

NPI Data:

NPI Number: 1962928283
Provider Enumeration Date: 08/17/2017
Last Update Date: 08/17/2017

Medicare PECOS Information:

PECOS PAC ID: 0042585762
Enrollment ID: I20171005003074

Medical Identifiers

Medical identifiers for Dr Eva Alicja Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962928283	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	7128 (Connecticut)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Greenwich Hospital Association -	Greenwich, CT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northeast Medical Group Inc	1254233836	1244

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 Eva Alicja Wallace allows following entities to bill medicare on her behalf.

Entity Name	Northeast Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043278351 PECOS PAC ID: 1254233836 Enrollment ID: O20040123000522

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 Eva Alicja 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
Dr Eva Alicja Wallace, DNP 152 Kneen St, Shelton, CT 06484-3935 Ph: () -	Dr Eva Alicja Wallace, DNP 267 Grant St, Bridgeport, CT 06610-2805 Ph: (203) 384-3000

Reviews and Comments

Nurse Practitioner Nurses in Bridgeport, CT

Ryan Keenan, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-3000
Caroline Mead Farrell, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 725 Park Ave, Bridgeport, CT 06604 Phone: 908-489-4847
Miss Sandra Shipkowitz, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-4490
Patricia Anne Simpson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-368-3000
Dr. Samantha Mraz, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 46 Albion St, Bridgeport, CT 06605 Phone: 203-332-3584
Esther M Mervil, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 471 Barnum Ave, Bridgeport, CT 06608 Phone: 203-333-6864 Fax: 203-332-0376
Asena Derohannesian, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 425 Thorme St, Bridgeport, CT 06606 Phone: 203-275-4115 Fax: 203-275-0198

Dr Eva Alicja Wallace, DNP - Medicare Nurse Practitioner in Bridgeport, CT