Cristy L Wallace, FNP is a medicare enrolled "Nurse Practitioner" provider in Fort Worth, Texas. Her current practice location is
1651 W Rosedale St Ste 205, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at
(817) 332-9966.
Cristy L Wallace is licensed to practice in Texas (license number AP120370) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1588959522.
Healthcare Provider's Profile
| Full Name | Cristy L Wallace |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 1651 W Rosedale St Ste 205, Fort Worth, Texas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Cristy L Wallace attended and graduated from in
NPI Data:
- NPI Number: 1588959522
- Provider Enumeration Date: 06/17/2011
- Last Update Date: 08/13/2014
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Cristy L Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588959522 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111NN1001X | Chiropractor - Nutrition | 7203 (Texas) | Secondary |
| 133N00000X | Nutritionist | (Texas) | Secondary |
| 363L00000X | Nurse Practitioner | AP120370 (Texas) | 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. Cristy L 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 |
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Cristy L Wallace, FNP
Po Box 961205,
Fort Worth, TX 76161-0205
Ph: (817) 740-8400 | Cristy L Wallace, FNP
1651 W Rosedale St Ste 205,
Fort Worth, TX 76104-7437
Ph: (817) 332-9966 |
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