Kimberly Wallace, LPN - Licensed Practical Nurse in Wampsville, NY

Kimberly Wallace, LPN is a Licensed Practical Nurse based in Wampsville, New York. Kimberly Wallace is licensed to practice in New York (license number 290441) and her current practice location is 138 North Court Street, Wampsville, New York. She can be reached at her office (for appointments etc.) via phone at (315) 366-2490.

NPI number for Kimberly Wallace is 1750785622 and her current mailing address is 2401 Clark Rd, Canastota, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1750785622.

Contact Information

Kimberly Wallace, LPN
138 North Court Street,
Wampsville, NY 13163
(315) 366-2490
Not Available

Map and Direction




Provider's Profile

Full NameKimberly Wallace
GenderFemale
SpecialityLicensed Practical Nurse
Location138 North Court Street, Wampsville, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1750785622
  • Provider Enumeration Date: 10/21/2014
  • Last Update Date: 10/21/2014

Medical Identifiers

Medical identifiers for Kimberly Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750785622NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse 290441 (New York)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. Kimberly 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 AddressPractice Location Address
Kimberly Wallace, LPN
2401 Clark Rd,
Canastota, NY 13032-4759

Ph: (315) 396-8515
Kimberly Wallace, LPN
138 North Court Street,
Wampsville, NY 13163

Ph: (315) 366-2490

Reviews and Comments


Licensed Practical Nurse Nurses in Wampsville, NY

Ms. Denice Ann Townsend, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 138 North Court St, Wampsville, NY 13163
Phone: 315-366-2327    Fax: 315-366-2599

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.