Ariel Nicole Wallace, OT in Glen Burnie, MD - Medicare Occupational Therapist Provider

Ariel Nicole Wallace, OT is a medicare enrolled "Occupational Therapist" provider in Glen Burnie, Maryland. Her current practice location is 200 Hospital Dr Ste 400, Glen Burnie, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 768-5555.

Ariel Nicole Wallace is licensed to practice in Maryland (license number 10219) 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 1821840117.

Contact Information

	Ariel Nicole Wallace, OT
	200 Hospital Dr Ste 400, Glen Burnie, MD 21061-5884
	(410) 768-5555
	(888) 313-5209

Map and Direction

Healthcare Provider's Profile

Full Name	Ariel Nicole Wallace
Gender	Female
Speciality	Occupational Therapist
Location	200 Hospital Dr Ste 400, Glen Burnie, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821840117
Provider Enumeration Date: 04/02/2024
Last Update Date: 04/19/2024

Medicare PECOS Information:

PECOS PAC ID: 3870932098
Enrollment ID: I20240419001798

Medical Identifiers

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

Identifier	Type	State	Issuer
1821840117	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	10219 (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. Ariel Nicole Wallace allows following entities to bill medicare on her behalf.

Provider Name	Centers For Advanced Orthopaedics Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1487093167 PECOS PAC ID: 8123260981 Enrollment ID: O20130808000102

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. Ariel Nicole 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
Ariel Nicole Wallace, OT 200 Hospital Dr Ste 400, Glen Burnie, MD 21061-5884 Ph: (410) 768-5555	Ariel Nicole Wallace, OT 200 Hospital Dr Ste 400, Glen Burnie, MD 21061-5884 Ph: (410) 768-5555

Reviews and Comments

Occupational Therapist in Glen Burnie, MD

Kathryn Garner, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7310 Ritchie Hwy Ste 615, Glen Burnie, MD 21061 Phone: 410-766-0006 Fax: 410-766-0048
Elaine Roberta Medlin, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1450 Furnace Ave, Glen Burnie, MD 21060 Phone: 410-222-6911 Fax: 410-222-6916
Mrs. Constance Davis Haines, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1450 Furnace Ave, Glen Burnie, MD 21060 Phone: 410-222-6911
Ms. Diane Childress Mccarter, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3310 Oak Manor Dr., Glen Burnie, MD 21061 Phone: 410-222-6423
Mr. Kirubadas A Paul, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 131 Foxbay Ln, Glen Burnie, MD 21061 Phone: 717-480-8375
Miss Angela Denise Sefcovic, MS, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 Scott Ave, Glen Burnie, MD 21060 Phone: 410-222-6942
Mrs. Monica Lea Saez, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6714 Ritchie Highway, Suite I, Glen Burnie, MD 21061 Phone: 410-787-2229 Fax: 410-787-0141

Ariel Nicole Wallace, OT - Medicare Occupational Therapist in Glen Burnie, MD