Cristy L Wallace, FNP is a medicare enrolled "Nurse Practitioner" provider in Fort Worth, Texas. She graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Texas Health Care Pllc and 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 | Nurse Practitioner |
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| Experience | 13 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 graduated from medical school in 2011
NPI Data:
- NPI Number: 1588959522
- Provider Enumeration Date: 06/17/2011
- Last Update Date: 08/13/2014
Medicare PECOS Information:
- PECOS PAC ID: 4587837216
- Enrollment ID: I20111025000610
Medical Identifiers
Medical identifiers for Cristy L Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 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 |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Texas Health Care Pllc | 7214840867 | 326 |
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. Cristy L Wallace allows following entities to bill medicare on her behalf.
| Provider Name | Texas Health Care Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1477628873
PECOS PAC ID: 7214840867
Enrollment ID: O20031110000388 |
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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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