JANIKA INEZ WALLACE D.O. NPI 1255642930

NPI Details

Janika Inez Wallace, D.O. is a family medicine in North East, MD. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Janika Inez Wallace, D.O. NPI is 1255642930. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

104 E CECIL AVE
1ST FLOOR
NORTH EAST, MD
ZIP 21901-016
Phone: (410) 287-7021
Fax: (410) 287-7067

The NPI 1255642930 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
• Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
• Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
• Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
• New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
• Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit (HCPCS:G0438)
• Administration of influenza virus vaccine (HCPCS:G0008)
• Hemoglobin a1c level (HCPCS:83036)
• Influenza vaccine split virus, preservative free (HCPCS:90662)
• Assessment of emotional or behavioral problems (HCPCS:96127)
• New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
• Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
• Administration of pneumococcal vaccine (HCPCS:G0009)

The enumeration date for this NPI number is 6/28/2010 and was last updated on 4/7/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.