Melanie Wallace, MED is a medicare enrolled "Speech-language Pathologist" provider in Stokesdale, North Carolina. Her current practice location is
7700 Us Highway 158, Stokesdale, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(336) 643-6301.
Melanie Wallace is licensed to practice in North Carolina (license number 11874) 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 1447718077.
Healthcare Provider's Profile
Full Name | Melanie Wallace |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 7700 Us Highway 158, Stokesdale, North Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1447718077
- Provider Enumeration Date: 03/02/2019
- Last Update Date: 03/02/2019
Medicare PECOS Information:
- PECOS PAC ID: 3971973793
- Enrollment ID: I20230111002700
Medical Identifiers
Medical identifiers for Melanie Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1447718077 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 11874 (North Carolina) | 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. Melanie Wallace allows following entities to bill medicare on her behalf.
Provider Name | Calso Physical Therapy Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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Provider Identifiers | NPI Number: 1790289387 PECOS PAC ID: 0547523045 Enrollment ID: O20180416001808 |
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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. Melanie 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 |
Melanie Wallace, MED 2504 Westmoreland Dr, Greensboro, NC 27408-5323 Ph: (336) 707-3370 | Melanie Wallace, MED 7700 Us Highway 158, Stokesdale, NC 27357-9346 Ph: (336) 643-6301 |
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