Carla Dennise Wallace, A-GNP-C - Medicare Nurse Practitioner in Pearland, TX

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Carla Dennise Wallace, A-GNP-C is a medicare enrolled "Nurse Practitioner - Gerontology" in Pearland, Texas. Her current practice location is 2421 Copper Sky Dr, Pearland, Texas. You can reach out to her office (for appointments etc.) via phone at (409) 350-0016.

Carla Dennise Wallace is licensed to practice in Texas (license number 1095104) 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 1164122149.

Contact Information

Carla Dennise Wallace, A-GNP-C
2421 Copper Sky Dr,
Pearland, TX 77584-3782
(409) 350-0016
Not Available

Map and Direction




Provider's Profile

Full NameCarla Dennise Wallace
GenderFemale
SpecialityNurse Practitioner - Gerontology
Location2421 Copper Sky Dr, Pearland, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164122149
  • Provider Enumeration Date: 03/07/2023
  • Last Update Date: 06/20/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2062877483
  • Enrollment ID: I20230508000967

Medical Identifiers

Medical identifiers for Carla Dennise Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164122149NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LG0600XNurse Practitioner - Gerontology 1095104 (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. Carla Dennise Wallace allows following entities to bill medicare on her behalf.
Entity NameTrumen Physicians And Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134442320
PECOS PAC ID: 7618006883
Enrollment ID: O20100526000535
Entity NameIpc Pac Healthcare Services Of Texas Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194174201
PECOS PAC ID: 1759676307
Enrollment ID: O20160823000163
Entity NameNv Pacs 2 Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427534809
PECOS PAC ID: 0941550578
Enrollment ID: O20210820003080
Entity NameIzuchukwu Okpara Md Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306531629
PECOS PAC ID: 6507223310
Enrollment ID: O20230609002725

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. Carla Dennise 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 AddressPractice Location Address
Carla Dennise Wallace, A-GNP-C
2421 Copper Sky Dr,
Pearland, TX 77584-3782

Ph: (409) 350-0016		Carla Dennise Wallace, A-GNP-C
2421 Copper Sky Dr,
Pearland, TX 77584-3782

Ph: (409) 350-0016

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.