Marlyn M Wallace, in Conyers, GA - Medicare Nurse Practitioner

Marlyn M Wallace, is a medicare enrolled "Nurse Practitioner" in Conyers, Georgia. 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 Atlanta Plus Urgent Care and her current practice location is 3073 Klondike Rd Sw, Conyers, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 558-3106.

Marlyn M Wallace is licensed to practice in Georgia (license number RN182038) 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 1144790973.

Contact Information

	Marlyn M Wallace,
	3073 Klondike Rd Sw, Conyers, GA 30094-5660
	(678) 558-3106
	Not Available

Map and Direction

Provider's Profile

Full Name	Marlyn M Wallace
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	3073 Klondike Rd Sw, Conyers, Georgia
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:

Marlyn M Wallace graduated from nursing school in 2017

NPI Data:

NPI Number: 1144790973
Provider Enumeration Date: 12/05/2018
Last Update Date: 12/05/2018

Medicare PECOS Information:

PECOS PAC ID: 6608102884
Enrollment ID: I20190725001697

Medical Identifiers

Medical identifiers for Marlyn M Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144790973	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	RN182038 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Atlanta Plus Urgent Care	9133453368	18

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. Marlyn M Wallace allows following entities to bill medicare on her behalf.

Entity Name	Atlanta Plus Urgent Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588163638 PECOS PAC ID: 9133453368 Enrollment ID: O20190621002246

Entity Name	Atlanta Plus Primary Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265144414 PECOS PAC ID: 3072984111 Enrollment ID: O20230127000277

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. Marlyn M 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
Marlyn M Wallace, 3073 Klondike Rd Sw, Conyers, GA 30094-5660 Ph: (678) 558-3106	Marlyn M Wallace, 3073 Klondike Rd Sw, Conyers, GA 30094-5660 Ph: (678) 558-3106

Reviews and Comments

Nurse Practitioner Nurses in Conyers, GA

Turquoise Allen, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1506 Klondike Rd Sw Ste 403, Conyers, GA 30094 Phone: 770-285-6699 Fax: 770-285-6510
Cecelin E Fields, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1706 Woodstone Cv Se, Conyers, GA 30013 Phone: 770-688-0405
Assumpta Ogbedeagu, MS-FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2920 Highway 138 Ne, Conyers, GA 30013 Phone: 303-214-8017
Mrs. Diana Kimbrough, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 911 Chambers Dr Nw, Conyers, GA 30012 Phone: 770-278-8171
Meetali Bindra, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1288 Wellbrook Cir Ne Ste A, Conyers, GA 30012 Phone: 678-369-6934
Ms. Judith T Chabot, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 425 Sigman Rd Nw, Suite 109, Conyers, GA 30012 Phone: 678-413-2026 Fax: 678-413-2030
Nathalie G Bailey, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1280 Dogwood Dr Se, Conyers, GA 30013 Phone: 404-994-4662

Marlyn M Wallace, - Medicare Nurse Practitioner in Conyers, GA