Mrs Kim Marie Wallace-schlick, FNP-C in Islip, NY

Mrs Kim Marie Wallace-schlick, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Islip, New York. She went to State University Of New York At Stony Brook, School Of Medicine and graduated in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice North Shore - Lij Medical Pc and her current practice location is 260 Main St, Islip, New York. You can reach out to her office (for appointments etc.) via phone at (631) 581-4481.

Mrs Kim Marie Wallace-schlick is licensed to practice in New York (license number 342162) 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 1972032472.

Contact Information

	Mrs Kim Marie Wallace-schlick, FNP-C
	260 Main St, Islip, NY 11751-3450
	(631) 581-4481
	(631) 581-4562

Map and Direction

Provider's Profile

Full Name	Mrs Kim Marie Wallace-schlick
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	260 Main St, Islip, New York
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:

Mrs Kim Marie Wallace-schlick attended and graduated from State University Of New York At Stony Brook, School Of Medicine in 2017

NPI Data:

NPI Number: 1972032472
Provider Enumeration Date: 06/08/2017
Last Update Date: 03/29/2024

Medicare PECOS Information:

PECOS PAC ID: 6709145105
Enrollment ID: I20180110001244

Medical Identifiers

Medical identifiers for Mrs Kim Marie Wallace-schlick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972032472	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	342162 (New York)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
North Shore - Lij Medical Pc	3375701568	5120

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. Mrs Kim Marie Wallace-schlick allows following entities to bill medicare on her behalf.

Entity Name	North Shore - Lij Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262

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. Mrs Kim Marie Wallace-schlick 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
Mrs Kim Marie Wallace-schlick, FNP-C 20 Dunn Ct, Sayville, NY 11782-2002 Ph: (631) 375-4211	Mrs Kim Marie Wallace-schlick, FNP-C 260 Main St, Islip, NY 11751-3450 Ph: (631) 581-4481

Reviews and Comments

Nurse Practitioner Nurses in Islip, NY

Danielle Thomas, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 28 45th St, Islip, NY 11751 Phone: 631-387-1534
Jonathon Charles Wenke, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 187 Wilson Blvd, Islip, NY 11751 Phone: 631-882-0302 Fax: 631-277-2393
Danielle Mcmahon, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 712 Main St, Islip, NY 11751 Phone: 631-666-3939
Elissa H Kravis, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 712 Main St, Islip, NY 11751 Phone: 631-666-3951 Fax: 631-666-3994
Prof. Melissa Sonya Stockman, RN-CS, ANP, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 152 Islip Ave Ste 23, Islip, NY 11751 Phone: 631-277-6767
Ms. Eileen Marie Hannon, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 39 Iron Wood Street, Islip, NY 11751 Phone: 631-277-8779
Michael James Haefele, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 32 Cedar Avenue Ext, Islip, NY 11751 Phone: 631-972-8841

Mrs Kim Marie Wallace-schlick, FNP-C - Medicare Nurse Practitioner in Islip, NY