Mrs Talia Nicole Wallace, FNP-C in Chesapeake, VA

Mrs Talia Nicole Wallace, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Chesapeake, Virginia. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Chesapeake Regional Medical Group and her current practice location is 300 Medical Pkwy Ste 314, Chesapeake, Virginia. You can reach out to her office (for appointments etc.) via phone at (757) 312-6195.

Mrs Talia Nicole Wallace is licensed to practice in Maryland (license number AC002032) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1063937753.

Contact Information

	Mrs Talia Nicole Wallace, FNP-C
	300 Medical Pkwy Ste 314, Chesapeake, VA 23320-4985
	(757) 312-6195
	(757) 937-0998

Map and Direction

Provider's Profile

Full Name	Mrs Talia Nicole Wallace
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	300 Medical Pkwy Ste 314, Chesapeake, Virginia
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Talia Nicole Wallace graduated from nursing school in 2016

NPI Data:

NPI Number: 1063937753
Provider Enumeration Date: 08/03/2017
Last Update Date: 07/30/2024

Medicare PECOS Information:

PECOS PAC ID: 5799045084
Enrollment ID: I20210323001400

Medical Identifiers

Medical identifiers for Mrs Talia Nicole Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063937753	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AC002032 (Maryland)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Chesapeake Regional Medical Center	Chesapeake, VA	Hospital
Sentara Norfolk General Hospital	Norfolk, VA	Hospital
Bon Secours Maryview Medical Center	Portsmouth, VA	Hospital
Sentara Albemarle Medical Center	Elizabeth city, NC	Hospital
Sentara Princess Anne Hospital	Virginia beach, VA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Chesapeake Regional Medical Group	8426113663	95

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 Talia Nicole Wallace allows following entities to bill medicare on her behalf.

Entity Name	Kirven Orthopedic Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144403262 PECOS PAC ID: 4789600693 Enrollment ID: O20051020000291

Entity Name	Chesapeake Regional Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699940270 PECOS PAC ID: 8426113663 Enrollment ID: O20090223000187

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 Talia Nicole 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
Mrs Talia Nicole Wallace, FNP-C 667 Kingsborough Sq Ste 101, Chesapeake, VA 23320-4999 Ph: (757) 842-4481	Mrs Talia Nicole Wallace, FNP-C 300 Medical Pkwy Ste 314, Chesapeake, VA 23320-4985 Ph: (757) 312-6195

Reviews and Comments

Nurse Practitioner Nurses in Chesapeake, VA

Lisa M Hills I, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4350 Taylor Road, Suite K, Chesapeake, VA 23321 Phone: 757-483-6401 Fax: 757-686-3025
Marcella Bowen, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 809 Kent Pl, Chesapeake, VA 23320 Phone: 757-426-0605
Jessica Gregory, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1210 Progressive Dr Ste 101, Chesapeake, VA 23320 Phone: 757-991-0190
Mrs. Danielle Susan Cavallo-fat, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1008 Bowling Green Trl, Chesapeake, VA 23320 Phone: 757-353-7525
Loretta Holley, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1910 Stonehurst St, Chesapeake, VA 23324 Phone: 757-472-8893
Stacy Jarrett, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 516 Innovation Dr Ste 102, Chesapeake, VA 23320 Phone: 833-510-4357
Mrs. Rachel Fraker Firman, MSN, APRN, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 816 Greenbrier Cir Ste 100, Chesapeake, VA 23320 Phone: 757-694-4723

Mrs Talia Nicole Wallace, FNP-C - Medicare Nurse Practitioner in Chesapeake, VA