Ms Andrea Lynn Wallace, MS in Stockton, CA - Medicare Audiologist Provider

Ms Andrea Lynn Wallace, MS is a medicare enrolled "Audiologist" provider in Stockton, California. Her current practice location is 7373 West Ln, Stockton, California. You can reach out to her office (for appointments etc.) via phone at (209) 476-3427.

Ms Andrea Lynn Wallace is licensed to practice in California (license number AU 2352) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1396819884.

Contact Information

	Ms Andrea Lynn Wallace, MS
	7373 West Ln, Stockton, CA 95210-3377
	(209) 476-3427
	(209) 476-3142

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Andrea Lynn Wallace
Gender	Female
Speciality	Audiologist
Location	7373 West Ln, Stockton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396819884
Provider Enumeration Date: 11/17/2006
Last Update Date: 02/11/2022

Medicare PECOS Information:

PECOS PAC ID: 9931481561
Enrollment ID: I20170116000660

Medical Identifiers

Medical identifiers for Ms Andrea Lynn Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396819884	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
231H00000X	Audiologist	AU 2352 (California)	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. Ms Andrea Lynn Wallace allows following entities to bill medicare on her behalf.

Provider Name	Permanente Medical Group Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Ms Andrea Lynn 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
Ms Andrea Lynn Wallace, MS 7373 West Ln, Stockton, CA 95210-3377 Ph: (209) 476-3427	Ms Andrea Lynn Wallace, MS 7373 West Ln, Stockton, CA 95210-3377 Ph: (209) 476-3427

Reviews and Comments

Audiologist in Stockton, CA

Ms. Kimberly Tersilla Smith, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 10200 Trinity Pkwy Ste 201, Stockton, CA 95219 Phone: 209-952-0483 Fax: 209-478-5785
Aunyaporn Amornpongchai, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 3601 Pacific Avenue, Audiology Department, Stockton, CA 95211 Phone: 209-946-7378
Dr. Ken Edward Norton, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 1231 W Robinhood Dr Ste A2, Stockton, CA 95207 Phone: 209-957-1744 Fax: 209-957-1147
Mrs. Erica Diana Rodriguez, M.S., CCC-A Audiologist Medicare: Medicare Enrolled Practice Location: 7373 West Ln, Stockton, CA 95210 Phone: 209-476-2080
Stockton Hearing & Speech Center Audiologist Medicare: Not Enrolled in Medicare Practice Location: 4623 Quail Lakes Drive, Stockton, CA 95207 Phone: 209-951-6491
Munirah Awad, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 3601 Pacific Ave, Stockton, CA 95211 Phone: 209-946-7378

Ms Andrea Lynn Wallace, MS - Medicare Audiologist in Stockton, CA