Alona Wallace, APRN is a
Nurse Practitioner - Pediatrics physician based in Englewood, Florida. Alona Wallace is licensed to practice in Florida (license number 11018027) and her current practice location is 900 Pine St Unit 216-217, Englewood, Florida. She can be reached at her office (for appointments etc.) via phone at
(941) 474-5093.
NPI number for Alona Wallace is 1093460412 and her current mailing address is 1078 Eisenhower Dr, Nokomis, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1093460412.
Physician's Profile
| Full Name | Alona Wallace |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Pediatrics |
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| Location | 900 Pine St Unit 216-217, Englewood, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1093460412
- Provider Enumeration Date: 02/14/2022
- Last Update Date: 02/21/2022
Medical Identifiers
Medical identifiers for Alona Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093460412 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 11018027 (Florida) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | 11018027 (Florida) | 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. Alona 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 Address | Practice Location Address |
|---|
Alona Wallace, APRN
1078 Eisenhower Dr,
Nokomis, FL 34275-4411
Ph: (813) 451-5701 | Alona Wallace, APRN
900 Pine St Unit 216-217,
Englewood, FL 34223-4418
Ph: (941) 474-5093 |
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