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IndividualActiveMedicare EnrolledPrescriberCan Order/Refer

Colleen Michelle Wallace

M.D.

Pediatrics

NPI: 1255627469Laurel, Maryland, 20707(240) 360-5723Female

About Colleen Michelle Wallace

Colleen Michelle Wallace, M.D., is a female healthcare professional specializing in Pediatrics, registered under National Provider Identifier (NPI) number 1255627469. Their primary practice is located at 14113 BALTIMORE AVE STE B, Laurel, Maryland 20707.

Patients can reach the office at (240) 360-5723. Colleen Michelle Wallace is enrolled in Medicare and accepts Medicare patients, is authorized to order and refer Medicare services, is authorized to prescribe medications.

Colleen Michelle Wallace has been NPI-registered since 2011.

Doctor Details

Identity & Credentials

NPI Number
1255627469
Entity Type
Individual
First Name
Colleen
Last Name
Wallace
Credential
M.D.
Gender
Female
Sole Proprietor
Yes
Status
active

Primary Practice Location

Address
14113 BALTIMORE AVE STE B
City
Laurel
State
Maryland
ZIP
20707-5073
Country
United States
Phone
(240) 360-5723

Specialty & Taxonomy

Primary Specialty
Pediatrics
Classification
Pediatrics
Taxonomy Code
208000000X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
14113 BALTIMORE AVE STE B
City
LAUREL
State
MD
ZIP
207075073

Medicare Enrollment

Medicare Enrolled
Yes
Can Order/Refer
Yes
Telehealth
No
Excluded
No

Prescriber Information

Authorized Prescriber
Yes

Frequently Asked Questions

What is Colleen Michelle Wallace's NPI number?
Colleen Michelle Wallace's National Provider Identifier (NPI) is 1255627469. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Colleen Michelle Wallace specialize in?
Colleen Michelle Wallace specializes in Pediatrics.
Where is Colleen Michelle Wallace located?
Colleen Michelle Wallace practices at 14113 BALTIMORE AVE STE B, Laurel, Maryland 20707. You can reach them by phone at (240) 360-5723.
Does Colleen Michelle Wallace accept Medicare?
Yes, Colleen Michelle Wallace is enrolled in the Medicare program and accepts Medicare patients. They are also authorized to order and refer services under Medicare.
Does Colleen Michelle Wallace offer telehealth or virtual visits?
Colleen Michelle Wallace does not currently offer telehealth services. In-person visits are required at their practice location.
Can Colleen Michelle Wallace prescribe medications?
Yes, Colleen Michelle Wallace is an authorized prescriber.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Colleen Michelle Wallace is 1255627469.