Angela Wallace, FNP in Sacramento, CA - Medicare Nurse Practitioner

Angela Wallace, FNP is a medicare enrolled "Nurse Practitioner - Family" in Sacramento, California. Her current practice location is 21 Metro Ln, Sacramento, California. You can reach out to her office (for appointments etc.) via phone at (405) 210-0778.

Angela Wallace is licensed to practice in California (license number 95021029) 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 1972230738.

Contact Information

	Angela Wallace, FNP
	21 Metro Ln, Sacramento, CA 95816-4396
	(405) 210-0778
	Not Available

Map and Direction

Provider's Profile

Full Name	Angela Wallace
Gender	Female
Speciality	Nurse Practitioner - Family
Location	21 Metro Ln, Sacramento, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972230738
Provider Enumeration Date: 08/02/2022
Last Update Date: 08/02/2022

Medicare PECOS Information:

PECOS PAC ID: 3375902208
Enrollment ID: I20230710002287

Medical Identifiers

Medical identifiers for Angela Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972230738	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95021029 (California)	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. Angela Wallace allows following entities to bill medicare on her behalf.

Entity Name	Shasta Community Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013931476 PECOS PAC ID: 3870579816 Enrollment ID: O20040629000721

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. Angela 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
Angela Wallace, FNP 21 Metro Ln, Sacramento, CA 95816-4396 Ph: () -	Angela Wallace, FNP 21 Metro Ln, Sacramento, CA 95816-4396 Ph: (405) 210-0778

Reviews and Comments

Nurse Practitioner Nurses in Sacramento, CA

Sumon Johnson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2570 48th St, Sacramento, CA 95817 Phone: 916-734-2145
Elena Walterman, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2315 Stockton Blvd Ste 1507, Sacramento, CA 95817 Phone: 916-734-2387
Ilana Lee Abramowitz, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2230 Stockton Blvd, Sacramento, CA 95817 Phone: 916-734-3574
Sharon Kay Mccoy, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2025 Morse Ave, Sacramento, CA 95825 Phone: 916-973-6935
Frances Eileen Briare, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6600 Bruceville Rd, Sacramento, CA 95823 Phone: 916-688-2000
Ms. Patricia Lynne Kang, GNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6600 Bruceville Rd, Eldercare Adult Medicine F, Sacramento, CA 95823 Phone: 916-688-6862 Fax: 916-973-6682
Ashena Varani, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3840 Watt Ave, Suite E, Sacramento, CA 95821 Phone: 916-488-6200 Fax: 916-488-6300

Angela Wallace, FNP - Medicare Nurse Practitioner in Sacramento, CA