Audrey Joann Wallace, FNP, ENP is a medicare enrolled "Family Medicine" in Amarillo, Texas. Her current practice location is
1600 Wallace Blvd, Amarillo, Texas. You can reach out to her office (for appointments etc.) via phone at
(806) 212-5750.
Audrey Joann Wallace is licensed to practice in Texas (license number AP144794) 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 1710518071.
Provider's Profile
Full Name | Audrey Joann Wallace |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 1600 Wallace Blvd, Amarillo, Texas |
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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. |
Medical Education and Training:
- Audrey Joann Wallace attended and graduated from in
NPI Data:
- NPI Number: 1710518071
- Provider Enumeration Date: 01/27/2020
- Last Update Date: 02/06/2025
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Audrey Joann Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710518071 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | AP144794 (Texas) | Secondary |
207Q00000X | Family Medicine | AP144794 (Texas) | 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. Audrey Joann 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 |
Audrey Joann Wallace, FNP, ENP 1600 Wallace Blvd, Amarillo, TX 79106-1799 Ph: (806) 212-5750 | Audrey Joann Wallace, FNP, ENP 1600 Wallace Blvd, Amarillo, TX 79106-1799 Ph: (806) 212-5750 |
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