Nancy Wallroff, is a medicare enrolled "Physician Assistant - Medical" in West Middlesex, Pennsylvania. Her current practice location is
313 North Street, West Middlesex, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(724) 528-2513.
Nancy Wallroff is licensed to practice in Pennsylvania (license number MA001620L) 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 1043283872.
Provider's Profile
| Full Name | Nancy Wallroff |
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| Gender | Female |
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| Speciality | Physician Assistant - Medical |
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| Location | 313 North Street, West Middlesex, Pennsylvania |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1043283872
- Provider Enumeration Date: 02/10/2006
- Last Update Date: 03/29/2021
Medicare PECOS Information:
- PECOS PAC ID: 5597866038
- Enrollment ID: I20070727000117
Medical Identifiers
Medical identifiers for Nancy Wallroff such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1043283872 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363AM0700X | Physician Assistant - Medical | MA001620L (Pennsylvania) | Primary |
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. Nancy Wallroff allows following entities to bill medicare on her behalf.
| Entity Name | Upmc Community Medicine Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558976092
PECOS PAC ID: 2062318975
Enrollment ID: O20040217000388 |
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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. Nancy Wallroff 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 |
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Nancy Wallroff,
150 Christian Ave,
Hubbard, OH 44425-2008
Ph: () - | Nancy Wallroff,
313 North Street,
West Middlesex, PA 16159
Ph: (724) 528-2513 |
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