Dr Jill Amy Wallace-ross, DO is a medicare enrolled "Family Medicine" physician in Ft. Lauderdale, Florida. She graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Nova Southeastern University Inc and her current practice location is
3200 S. University Drive, Sanford L. Ziff Bldg., Ft. Lauderdale, Florida. You can reach out to her office (for appointments etc.) via phone at
(954) 262-4100.
Dr Jill Amy Wallace-ross is licensed to practice in Florida (license number OS10880) 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 1770722043.
Physician's Profile
| Full Name | Dr Jill Amy Wallace-ross |
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| Gender | Female |
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| Speciality | Family Practice |
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| Experience | 17 Years |
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| Location | 3200 S. University Drive, Ft. Lauderdale, Florida |
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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:
- Dr Jill Amy Wallace-ross graduated from medical school in 2007
NPI Data:
- NPI Number: 1770722043
- Provider Enumeration Date: 02/11/2009
- Last Update Date: 02/15/2012
Medicare PECOS Information:
- PECOS PAC ID: 9830222801
- Enrollment ID: I20100728000956
Medical Identifiers
Medical identifiers for Dr Jill Amy Wallace-ross such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1770722043 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | OS10880 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Nova Southeastern University Inc | 4486568896 | 84 |
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. Dr Jill Amy Wallace-ross allows following entities to bill medicare on her behalf.
| Entity Name | Nova Southeastern University Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1700924511
PECOS PAC ID: 4486568896
Enrollment ID: O20031118000987 |
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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. Dr Jill Amy Wallace-ross 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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Dr Jill Amy Wallace-ross, DO
3200 S. University Drive, Assembly Bldg. # 2 Room 202,
Ft. Lauderdale, FL 33328-2018
Ph: (954) 262-4343 | Dr Jill Amy Wallace-ross, DO
3200 S. University Drive, Sanford L. Ziff Bldg.,
Ft. Lauderdale, FL 33328-2018
Ph: (954) 262-4100 |
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