Ashley Lynette Wallace, MSN, APRN, FNP-C, in Fort Worth, TX

Ashley Lynette Wallace, MSN, APRN, FNP-C, is a medicare enrolled "Nurse Practitioner - Primary Care" in Fort Worth, Texas. Her current practice location is 1400 8th Ave, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 922-4630.

Ashley Lynette Wallace is licensed to practice in Texas (license number PENDING) 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 1679133573.

Contact Information

	Ashley Lynette Wallace, MSN, APRN, FNP-C,
	1400 8th Ave, Fort Worth, TX 76104-4110
	(817) 922-4630
	Not Available

Map and Direction

Provider's Profile

Full Name	Ashley Lynette Wallace
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	1400 8th Ave, Fort Worth, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679133573
Provider Enumeration Date: 06/13/2019
Last Update Date: 04/07/2020

Medicare PECOS Information:

PECOS PAC ID: 8921335902
Enrollment ID: I20190814000855

Medical Identifiers

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

Identifier	Type	State	Issuer
1679133573	NPI	-	NPPES
AP141896	Other	TX	TEXAS BOARD OF NURSING

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	AP141896 (Texas)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	PENDING (Texas)	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. Ashley Lynette Wallace allows following entities to bill medicare on her behalf.

Entity Name	Healthtexas Provider Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760488936 PECOS PAC ID: 1355254210 Enrollment ID: O20040727001187

Entity Name	Wellmed Medical Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437156486 PECOS PAC ID: 4880657386 Enrollment ID: O20041105000519

Entity Name	Wellmed Networks, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386948677 PECOS PAC ID: 6002091261 Enrollment ID: O20110503000555

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. Ashley Lynette 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
Ashley Lynette Wallace, MSN, APRN, FNP-C, 1400 8th Ave, Fort Worth, TX 76104-4110 Ph: (817) 922-4630	Ashley Lynette Wallace, MSN, APRN, FNP-C, 1400 8th Ave, Fort Worth, TX 76104-4110 Ph: (817) 922-4630

Reviews and Comments

Nurse Practitioner Nurses in Fort Worth, TX

Mrs. Amy Michelle Medalie, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4405 River Oaks Blvd, Fort Worth, TX 76114 Phone: 817-624-1770 Fax: 817-625-1287
Valerie Elise Ward, RN, CPNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2755 Miller Ave, Fort Worth, TX 76105 Phone: 817-534-7110 Fax: 817-413-0521
Maria Sybil Gagliano, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6000 Bryant Irvin Rd, Fort Worth, TX 76132 Phone: 866-389-2727
Kristi E Tucker, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 801 7th Ave, Fort Worth, TX 76104 Phone: 682-885-1475 Fax: 682-885-7520
Lacy Pitchford, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1263 W Rosedale St Ste 200, Fort Worth, TX 76104 Phone: 817-336-4896 Fax: 817-332-2805
Mary Agnes Johnson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1400 8th Ave, Fort Worth, TX 76104 Phone: 817-922-7070
Susan Akberzie, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1401 W Pulaski St, Fort Worth, TX 76104 Phone: 682-885-8012 Fax: 682-885-8014

Ashley Lynette Wallace, MSN, APRN, FNP-C, - Medicare Nurse Practitioner in Fort Worth, TX