JACQUELINE WALLACE
NPI 1154168482
Student in an Organized Health Care Education/Training Program in Atlanta, GA
About Jacqueline Wallace NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELINE WALLACE (NPI 1154168482) is an individual student in an organized health care education/training program in Atlanta, Georgia and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Other Names 1
Medicare Participation & PECOS Enrollment Status
Jacqueline Wallace is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Reviews for JACQUELINE WALLACE
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
ATLANTA, GA 30322
ATLANTA, GA 30322
ATLANTA, GA 30322
ATLANTA, GA 30322
ATLANTA, GA 30322
ATLANTA, GA 30322
ATLANTA, GA 30322
ATLANTA, GA 30322
ATLANTA, GA 30322
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154168482, enumerated as an "individual" on July 12, 2024.
The provider is located at 1364 CLIFTON RD NE ATLANTA, GA 30322 and the phone number is (404) 712-2000.
Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
