Alexis Nicole Wallace, MD - Medicare Internal Medicine in 1120 15th St, GA

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Alexis Nicole Wallace, MD is a medicare enrolled "Internal Medicine" physician in 1120 15th St, Georgia. Her current practice location is Augusta University Medical Center, 1120 15th St, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 721-2273.

Alexis Nicole Wallace is licensed to practice in Georgia (license number 12864) 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 1245856822.

Contact Information

Alexis Nicole Wallace, MD
Augusta University Medical Center,
1120 15th St, GA 30912
(706) 721-2273
Not Available

Map and Direction




Physician's Profile

Full NameAlexis Nicole Wallace
GenderFemale
SpecialityInternal Medicine
LocationAugusta University Medical Center, 1120 15th St, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1245856822
  • Provider Enumeration Date: 06/19/2020
  • Last Update Date: 12/15/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6002217619
  • Enrollment ID: I20241002000699

Medical Identifiers

Medical identifiers for Alexis Nicole Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245856822NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine LL84507 (South Carolina)Secondary
207R00000XInternal Medicine 12864 (Georgia)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. Alexis Nicole Wallace allows following entities to bill medicare on her behalf.
Entity NameSoutheastern Hospitalist Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003280108
PECOS PAC ID: 3476855420
Enrollment ID: O20160107001140
Entity NameMuscogee Hospitalist Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639681851
PECOS PAC ID: 8921368564
Enrollment ID: O20180130003094
Entity NameBenning Hospitalist Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215442173
PECOS PAC ID: 5698038479
Enrollment ID: O20180409000613

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. Alexis Nicole 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 AddressPractice Location Address
Alexis Nicole Wallace, MD
Internal Medicine Residency 1120 15th St,
Augusta, GA 30912-0001

Ph: (706) 721-2273		Alexis Nicole Wallace, MD
Augusta University Medical Center,
1120 15th St, GA 30912

Ph: (706) 721-2273

Reviews and Comments


Internal Medicine Doctors in 1120 15th St, GA


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.