Rachael Viola Wallace, FNP-BC in Quincy, MA - Medicare Nurse Practitioner

Rachael Viola Wallace, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Quincy, Massachusetts. Her current practice location is 479 Washington St Ste 2, Quincy, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (857) 529-5220.

Rachael Viola Wallace is licensed to practice in Massachusetts (license number RN2340400) 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 1952024598.

Contact Information

	Rachael Viola Wallace, FNP-BC
	479 Washington St Ste 2, Quincy, MA 02169-5895
	(857) 529-5220
	Not Available

Map and Direction

Provider's Profile

Full Name	Rachael Viola Wallace
Gender	Female
Speciality	Nurse Practitioner - Family
Location	479 Washington St Ste 2, Quincy, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952024598
Provider Enumeration Date: 09/20/2022
Last Update Date: 11/17/2023

Medicare PECOS Information:

PECOS PAC ID: 6204205057
Enrollment ID: I20221216002389

Medical Identifiers

Medical identifiers for Rachael Viola Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952024598	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN2340400 (Massachusetts)	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. Rachael Viola Wallace allows following entities to bill medicare on her behalf.

Entity Name	Convenientmd Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982301289 PECOS PAC ID: 2062667033 Enrollment ID: O20181115000859

Entity Name	Convenientmd - Ffs Uc Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629769096 PECOS PAC ID: 5193186492 Enrollment ID: O20230921002173

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. Rachael Viola 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
Rachael Viola Wallace, FNP-BC 360 Us Highway 1 Byp Unit 102, Portsmouth, NH 03801-7105 Ph: (603) 410-6700	Rachael Viola Wallace, FNP-BC 479 Washington St Ste 2, Quincy, MA 02169-5895 Ph: (857) 529-5220

Reviews and Comments

Nurse Practitioner Nurses in Quincy, MA

Mrs. Barbara Charlene Mackey, ANP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1261 Furnace Brook Pkwy, Suite 31, Quincy, MA 02169 Phone: 617-479-4555
Ms. Ellen E Sampson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1261 Furnace Brook Pkwy, Suite 31, Quincy, MA 02169 Phone: 617-479-4545 Fax: 617-479-4555
Ms. Sarah Elizabeth Mary Paez, GNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1250 Hancock St Fl 5, Quincy, MA 02169 Phone: 617-421-2686 Fax: 617-774-0606
Melissa Karno, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2 Adams Pl Ste 305, Quincy, MA 02169 Phone: 617-302-4194
Nicole Marie Warner, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1261 Furnace Brook Pkwy Ste 31, Quincy, MA 02169 Phone: 617-479-4545
Megan Flaherty, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 500 Congress St Ste B1, Quincy, MA 02169 Phone: 617-934-0024
Teresa Rogers, AGACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 Congress St, Quincy, MA 02169 Phone: 774-319-1355

Rachael Viola Wallace, FNP-BC - Medicare Nurse Practitioner in Quincy, MA