MS. MARQUITA DIANE WALLACE
NPI 1598087900
Dentist in Covington, LA

Active since February 26, 2010PECOS Enrolled
600 N HIGHWAY 190, SUITE 4, COVINGTON, LA 70433(615) 887-1379 Get Directions Write a Review

NPPES record last updated: September 25, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Marquita Diane Wallace NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. MARQUITA DIANE WALLACE (NPI 1598087900) is an individual dentist in Covington, Louisiana, licensed in Louisiana (6135) and active in the NPI registry since February 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598087900
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameMS. MARQUITA DIANE WALLACE
Location Address600 N HIGHWAY 190, SUITE 4Covington, LA 70433-5003
Mailing Address600 N Highway 190, Suite 4Covington, LA 70433-5003 · (615) 887-1379
Sole ProprietorNo
Enumeration DateFebruary 26, 2010
Last NPPES UpdateSeptember 25, 2013
NPI 1598087900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in LA · 6135
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
600 N HIGHWAY 190, Covington, LA 70433

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ms. Marquita Diane Wallace is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70433 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
600 N HIGHWAY 190, SUITE 4
COVINGTON, LA 70433
Dentist
600 N HIGHWAY 190
COVINGTON, LA 70433
Dentist
600 N HIGHWAY 190
COVINGTON, LA 70433
Social Worker (Clinical)
600 N HIGHWAY 190, SUITE 207
COVINGTON, LA 70433
Community/Behavioral Health
600 N HIGHWAY 190, SUITE 207
COVINGTON, LA 70433
Prosthetic/Orthotic Supplier
600 N HIGHWAY 190, SUITE 2
COVINGTON, LA 70433
Psychologist (Clinical Child & Adolescent)
600 N HIGHWAY 190, SUITE 211
COVINGTON, LA 70433
Dentist
600 N HIGHWAY 190, SUITE 4
COVINGTON, LA 70433

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marquita Wallace's NPI number?

The NPI number for Marquita Wallace is 1598087900. It was assigned to this individual provider in the NPPES registry on February 26, 2010.

Where is Marquita Wallace located?

Marquita Wallace practices at 600 N Highway 190 Suite 4, Covington, LA 70433. The listed phone number is (615) 887-1379.

What is Marquita Wallace's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Marquita Wallace enrolled in Medicare?

Yes. Marquita Wallace is registered in the Medicare PECOS enrollment system.

What insurance does Marquita Wallace accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Anthem Blue Cross and Blue Shield and 14 other insurers list Marquita Wallace as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marquita Wallace was last updated on September 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.