Nicola Clarke Wallen, PMHNP in Waldorf, MD - Medicare Nurse Practitioner

Nicola Clarke Wallen, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Waldorf, Maryland. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is 3261 Old Washington Rd Ste 2020, Waldorf, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 960-8930.

Nicola Clarke Wallen is licensed to practice in Maryland (license number R190596) 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 1659413615.

Contact Information

	Nicola Clarke Wallen, PMHNP
	3261 Old Washington Rd Ste 2020, Waldorf, MD 20602-3231
	(301) 960-8930
	Not Available

Map and Direction

Provider's Profile

Full Name	Nicola Clarke Wallen
Gender	Female
Speciality	Nurse Practitioner
Experience	10 Years
Location	3261 Old Washington Rd Ste 2020, Waldorf, Maryland
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:

Nicola Clarke Wallen graduated from nursing school in 2014

NPI Data:

NPI Number: 1659413615
Provider Enumeration Date: 02/13/2007
Last Update Date: 08/25/2020

Medicare PECOS Information:

PECOS PAC ID: 8820423734
Enrollment ID: I20200828000015

Medical Identifiers

Medical identifiers for Nicola Clarke Wallen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659413615	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R190596 (Maryland)	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. Nicola Clarke Wallen allows following entities to bill medicare on her behalf.

Entity Name	Nicola Clarke Wallen Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609490788 PECOS PAC ID: 8426475054 Enrollment ID: O20200827003432

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. Nicola Clarke Wallen 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
Nicola Clarke Wallen, PMHNP 3307 Dunwood Ridge Ter, Bowie, MD 20721-1259 Ph: (202) 569-2638	Nicola Clarke Wallen, PMHNP 3261 Old Washington Rd Ste 2020, Waldorf, MD 20602-3231 Ph: (301) 960-8930

Reviews and Comments

Nurse Practitioner Nurses in Waldorf, MD

Mr. Moenil Patel, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10 Saint Patricks Dr, Waldorf, MD 20603 Phone: 301-373-7900 Fax: 301-373-6900
Ms. Gloria Alice Johnston, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2805 Trumpeter Ct, Waldorf, MD 20601 Phone: 240-353-2516
Vanessa Wansel, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2193 Everett Ct, Waldorf, MD 20601 Phone: 301-535-8457
Oluwatoyin Rachael Adelakun, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10612 Cheryl Turn, Waldorf, MD 20603 Phone: 301-377-4325
Dawnette Gaylene Campbell, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10542 Black Pine Ln, Waldorf, MD 20603 Phone: 301-537-3642
Queen K Iji, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3070 Crain Hwy, Waldorf, MD 20601 Phone: 301-645-3556
Ms. Cecelia Ann Gramsky, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3581 Old Washington Rd, Suite F, Waldorf, MD 20602 Phone: 301-638-4400 Fax: 301-638-2200

Nicola Clarke Wallen, PMHNP - Medicare Nurse Practitioner in Waldorf, MD