Vicki Wallace, NP in Fredericksburg, VA - Medicare Nurse Practitioner

Vicki Wallace, NP is a medicare enrolled "Nurse Practitioner - Acute Care" in Fredericksburg, Virginia. She graduated from nursing school in 2002 and has 22 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mary Washington Healthcare Physicians and her current practice location is 1101 Sam Perry Blvd.,, Suite 211, Fredericksburg, Virginia. You can reach out to her office (for appointments etc.) via phone at (540) 372-7792.

Vicki Wallace is licensed to practice in Virginia (license number 0024166526) 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 1689640195.

Contact Information

	Vicki Wallace, NP
	1101 Sam Perry Blvd.,, Suite 211, Fredericksburg, VA 22401
	(540) 372-7792
	Not Available

Map and Direction

Provider's Profile

Full Name	Vicki Wallace
Gender	Female
Speciality	Nurse Practitioner
Experience	22 Years
Location	1101 Sam Perry Blvd.,, Fredericksburg, Virginia
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:

Vicki Wallace graduated from nursing school in 2002

NPI Data:

NPI Number: 1689640195
Provider Enumeration Date: 02/24/2006
Last Update Date: 02/01/2017

Medicare PECOS Information:

PECOS PAC ID: 9436129574
Enrollment ID: I20090330000415

Medical Identifiers

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

Identifier	Type	State	Issuer
1689640195	NPI	-	NPPES
036084100	Medicaid	DC
405959000	Medicaid	DC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	RN67063 (District Of Columbia)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	0024166526 (Virginia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mary Washington Hospital	Fredericksburg, VA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mary Washington Healthcare Physicians	2769546530	296

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. Vicki Wallace allows following entities to bill medicare on her behalf.

Entity Name	Mary Washington Healthcare Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295999852 PECOS PAC ID: 2769546530 Enrollment ID: O20090123000298

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. Vicki 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
Vicki Wallace, NP 1101 Sam Perry Blvd, Suite 211, Fredericksburg, VA 22401 Ph: (540) 372-7792	Vicki Wallace, NP 1101 Sam Perry Blvd.,, Suite 211, Fredericksburg, VA 22401 Ph: (540) 372-7792

Reviews and Comments

Nurse Practitioner Nurses in Fredericksburg, VA

Lisa Lee Rice, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5004 Southpoint Pkwy, Fredericksburg, VA 22407 Phone: 888-852-1988
Catherine Michelle Carpenter, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1011 Care Way Ste 200, Fredericksburg, VA 22401 Phone: 855-739-9953
Dr. Bernard Nii Kpakpa Quartey, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2306 Plank Rd Ste 100, Fredericksburg, VA 22401 Phone: 540-785-9900
Henrietta Dedo, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1212 Pickett Cir, Fredericksburg, VA 22401 Phone: 571-212-7593
Deborah Risco-dunlap, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Mcwhirt Loop, Fredericksburg, VA 22406 Phone: 866-389-2727
Rajwant Dhillon, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9530 Cosner Dr Ste 200, Fredericksburg, VA 22408 Phone: 540-373-1331
Amanda B Fisher, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 Jackson St, Fredericksburg, VA 22401 Phone: 540-373-3223 Fax: 540-371-3753

Vicki Wallace, NP - Medicare Nurse Practitioner in Fredericksburg, VA