Ms Melynda Kaye Wallace, CRNA, APRN is a medicare enrolled "Nurse Practitioner" in Grantham, New Hampshire. She graduated from nursing school in 1994 and has 30 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). Her current practice location is
151 Route 10 N Unit 2, Grantham, New Hampshire. You can reach out to her office (for appointments etc.) via phone at
(603) 309-3902.
Ms Melynda Kaye Wallace is licensed to practice in New Hampshire (license number 040072-23-11) 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 1881672137.
Provider's Profile
| Full Name | Ms Melynda Kaye Wallace |
|---|
| Gender | Female |
|---|
| Speciality | Certified Registered Nurse Anesthetist (crna) |
|---|
| Experience | 30 Years |
|---|
| Location | 151 Route 10 N Unit 2, Grantham, New Hampshire |
|---|
| 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:
- Ms Melynda Kaye Wallace graduated from nursing school in 1994
NPI Data:
- NPI Number: 1881672137
- Provider Enumeration Date: 01/06/2006
- Last Update Date: 04/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 9335189588
- Enrollment ID: I20050506000094
Medical Identifiers
Medical identifiers for Ms Melynda Kaye Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881672137 | NPI | - | NPPES |
| 1008569 | Medicaid | VT | |
| 1008569 | Medicaid | NH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363L00000X | Nurse Practitioner | 040072-23-11 (New Hampshire) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | 040072-23 (New Hampshire) | Secondary |
Medical Facilities Affiliation
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 Melynda Kaye Wallace allows following entities to bill medicare on her behalf.
| Entity Name | Medstream Anesthesia Pllc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1649616160
PECOS PAC ID: 7416198049
Enrollment ID: O20170817001824 |
|---|
| Entity Name | Faodail Pain Management Pllc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1114524824
PECOS PAC ID: 6406268861
Enrollment ID: O20201209002105 |
|---|
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 Melynda Kaye 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 |
|---|
Ms Melynda Kaye Wallace, CRNA, APRN
151 Route 10 N Unit 2,
Grantham, NH 03753-3621
Ph: (603) 309-3902 | Ms Melynda Kaye Wallace, CRNA, APRN
151 Route 10 N Unit 2,
Grantham, NH 03753-3621
Ph: (603) 309-3902 |
Reviews and Comments