Wendy Jo Wallace, RDN - Dietitian in Longview, TX

Wendy Jo Wallace, RDN is a Dietitian, Registered based in Longview, Texas. Wendy Jo Wallace is licensed to practice in Texas (license number 831664) and her current practice location is 1007 Lovers Ln, Longview, Texas. She can be reached at her office (for appointments etc.) via phone at (903) 261-2269.

NPI number for Wendy Jo Wallace is 1124799051 and her current mailing address is 1007 Lovers Ln, Longview, Texas. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124799051.

Contact Information

Wendy Jo Wallace, RDN
1007 Lovers Ln,
Longview, TX 75604-2855
(903) 261-2269
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameWendy Jo Wallace
GenderFemale
SpecialityDietitian, Registered
Location1007 Lovers Ln, Longview, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1124799051
  • Provider Enumeration Date: 09/21/2021
  • Last Update Date: 09/21/2021

Medical Identifiers

Medical identifiers for Wendy Jo Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124799051NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered 831664 (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. Wendy Jo Wallace is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Wendy Jo Wallace, RDN
1007 Lovers Ln,
Longview, TX 75604-2855

Ph: (903) 261-2269
Wendy Jo Wallace, RDN
1007 Lovers Ln,
Longview, TX 75604-2855

Ph: (903) 261-2269

Reviews and Comments


Dietitian, Registered in Longview, TX

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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