Mrs Beth Ann Wallace, MS is a medicare enrolled "Audiologist" provider in Peru, Illinois. Her current practice location is
4127 Progress Blvd, Peru, Illinois. You can reach out to her office (for appointments etc.) via phone at
(815) 223-3201.
Mrs Beth Ann Wallace is licensed to practice in Illinois (license number 147000988) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1871846204.
Healthcare Provider's Profile
Full Name | Mrs Beth Ann Wallace |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 4127 Progress Blvd, Peru, Illinois |
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Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Beth Ann Wallace attended and graduated from in
NPI Data:
- NPI Number: 1871846204
- Provider Enumeration Date: 10/23/2012
- Last Update Date: 02/01/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mrs Beth Ann Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871846204 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
231H00000X | Audiologist | 147000988 (Illinois) | Primary |
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. Mrs Beth Ann 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 |
Mrs Beth Ann Wallace, MS 4127 Progress Blvd, Peru, IL 61354-1112 Ph: (815) 866-2084 | Mrs Beth Ann Wallace, MS 4127 Progress Blvd, Peru, IL 61354-1112 Ph: (815) 223-3201 |
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