Margot Wallace, - Medicare Physician Assistant in Randallstown, MD

Margot Wallace, is a medicare enrolled "Physician Assistant" in Randallstown, Maryland. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Lifebridge Community Physicians Inc and her current practice location is 5401 Old Court Rd, Randallstown, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 521-2200.

Margot Wallace is licensed to practice in * (Not Available) (license number ) 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 1578176863.

Contact Information

Margot Wallace,
5401 Old Court Rd,
Randallstown, MD 21133-5103
(410) 521-2200
Not Available

Map and Direction




Provider's Profile

Full NameMargot Wallace
GenderFemale
SpecialityPhysician Assistant
Experience4 Years
Location5401 Old Court Rd, Randallstown, Maryland
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Margot Wallace graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1578176863
  • Provider Enumeration Date: 08/26/2020
  • Last Update Date: 08/26/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6608286562
  • Enrollment ID: I20201104000129

Medical Identifiers

Medical identifiers for Margot Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578176863NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (* (Not Available))Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Northwest Hospital CenterRandallstown, MDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lifebridge Community Physicians Inc3678751468185

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. Margot 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 AddressPractice Location Address
Margot Wallace,
936 Creek Park Rd,
Bel Air, MD 21014-2324

Ph: (443) 567-2792
Margot Wallace,
5401 Old Court Rd,
Randallstown, MD 21133-5103

Ph: (410) 521-2200

Reviews and Comments


Physician Assistant Nurses in Randallstown, MD

Mr. Mario Klimentov Dimitrov, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 5401 Old Court Road, Northwest Hospital Center, Randallstown, MD 21133
Phone: 410-521-2200    
Ms. Shannon Lynn Watts, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 5401 Old Court Rd, Randallstown, MD 21133
Phone: 410-521-2200    
Scott W Stromberg, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 5401 Old Court Rd, Randallstown, MD 21133
Phone: 410-521-2200    
Haramrit Rajan, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 5401 Old Court Rd, Randallstown, MD 21133
Phone: 410-521-2200    
Ms. Mindi N Valuckas, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 5401 Old Court Rd, Randallstown, MD 21133
Phone: 410-521-2200    
Ms. Jessica L. Ridgely, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 5401 Old Court Rd, Randallstown, MD 21133
Phone: 410-521-2200    
Bethany Kate Heaton, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 5401 Old Court Rd, Randallstown, MD 21133
Phone: 410-521-2200    

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.