Mrs Beth Ann Wallace, MS in Peru, IL - Medicare Qualified Audiologist Provider

Mrs Beth Ann Wallace, MS is a medicare enrolled "Audiologist" provider in Peru, Illinois. She graduated from medical school in 2000 and has 24 years of diverse experience with area of expertise as Qualified Audiologist. 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.

Contact Information

	Mrs Beth Ann Wallace, MS
	4127 Progress Blvd, Peru, IL 61354-1112
	(815) 223-3201
	(815) 223-3202

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Beth Ann Wallace
Gender	Female
Speciality	Qualified Audiologist
Experience	24 Years
Location	4127 Progress Blvd, Peru, Illinois
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 graduated from medical school in 2000

NPI Data:

NPI Number: 1871846204
Provider Enumeration Date: 10/23/2012
Last Update Date: 02/01/2024

Medicare PECOS Information:

PECOS PAC ID: 7719926351
Enrollment ID: I20210315002269

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 Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Beth Ann Wallace allows following entities to bill medicare on her behalf.

Provider Name	Wallace Center For Hearing, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1700558467 PECOS PAC ID: 6709276991 Enrollment ID: O20211202000124

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

Reviews and Comments

Audiologist in Peru, IL

Wallace Center For Hearing, Llc Audiologist Medicare: Medicare Enrolled Practice Location: 4127 Progress Blvd, Peru, IL 61354 Phone: 815-223-3201 Fax: 815-223-3202
Kendra Lenee Theodosopoulos, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 2200 Marquette Rd Ste 115, Peru, IL 61354 Phone: 815-223-1100 Fax: 815-223-4105

Mrs Beth Ann Wallace, MS - Medicare Audiologist in Peru, IL