Ms Elizabeth Conner Wallace, APRN - Medicare Nurse Practitioner in Bridgeport, CT

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Ms Elizabeth Conner Wallace, APRN is a medicare enrolled "Nurse Practitioner - Family" in Bridgeport, Connecticut. Her current practice location is 2800 Main St, Dept Of Cardiovascular Medicine, Bridgeport, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 576-6000.

Ms Elizabeth Conner Wallace is licensed to practice in Connecticut (license number 004834) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1285907733.

Contact Information

Ms Elizabeth Conner Wallace, APRN
2800 Main St, Dept Of Cardiovascular Medicine,
Bridgeport, CT 06606-4201
(203) 576-6000
Not Available

Map and Direction




Provider's Profile

Full NameMs Elizabeth Conner Wallace
GenderFemale
SpecialityNurse Practitioner - Family
Location2800 Main St, Bridgeport, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1285907733
  • Provider Enumeration Date: 02/14/2012
  • Last Update Date: 09/29/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 6507020146
  • Enrollment ID: I20120612000477

Medical Identifiers

Medical identifiers for Ms Elizabeth Conner Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285907733NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 004834 (Connecticut)Primary
363L00000XNurse Practitioner 004834 (Connecticut)Secondary

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. Ms Elizabeth Conner Wallace allows following entities to bill medicare on her behalf.
Entity NameSt. Vincent's Multispecialty Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043544489
PECOS PAC ID: 6204977218
Enrollment ID: O20100112000538
Entity NameCardiology Physicians Of Fairfield County Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962763722
PECOS PAC ID: 1850557141
Enrollment ID: O20120801000432
Entity NameHartford Healthcare Medical Group Specialists Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023584216
PECOS PAC ID: 3173866241
Enrollment ID: O20190514001441

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. Ms Elizabeth Conner 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
Ms Elizabeth Conner Wallace, APRN
2800 Main St, Dept Of Cardiovascular Medicine,
Bridgeport, CT 06606-4201

Ph: (203) 576-6000		Ms Elizabeth Conner Wallace, APRN
2800 Main St, Dept Of Cardiovascular Medicine,
Bridgeport, CT 06606-4201

Ph: (203) 576-6000

Reviews and Comments


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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.