Charleston Bailee Wallace, FNP in Lexington, TN

Charleston Bailee Wallace, FNP is a medicare enrolled "Nurse Practitioner - Family" in Lexington, Tennessee. She went to Memphis Hospital Medical College and graduated in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Christopher D Marshall Md Pllc and her current practice location is 157 W Church St, Lexington, Tennessee. You can reach out to her office (for appointments etc.) via phone at (731) 968-8182.

Charleston Bailee Wallace is licensed to practice in Tennessee (license number 30307) 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 1851960421.

Contact Information

	Charleston Bailee Wallace, FNP
	157 W Church St, Lexington, TN 38351-2011
	(731) 968-8182
	Not Available

Map and Direction

Provider's Profile

Full Name	Charleston Bailee Wallace
Gender	Female
Speciality	Nurse Practitioner
Experience	3 Years
Location	157 W Church St, Lexington, Tennessee
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:

Charleston Bailee Wallace attended and graduated from Memphis Hospital Medical College in 2021

NPI Data:

NPI Number: 1851960421
Provider Enumeration Date: 06/18/2021
Last Update Date: 09/22/2021

Medicare PECOS Information:

PECOS PAC ID: 4082007042
Enrollment ID: I20220215002292

Medical Identifiers

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

Identifier	Type	State	Issuer
1851960421	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	225188 (Tennessee)	Secondary
363LF0000X	Nurse Practitioner - Family	30307 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Henderson County Community Hospital	Lexington, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Christopher D Marshall Md Pllc	5496071904	3

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. Charleston Bailee Wallace allows following entities to bill medicare on her behalf.

Entity Name	Christopher D Marshall Md Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659762391 PECOS PAC ID: 5496071904 Enrollment ID: O20150227001178

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. Charleston Bailee 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
Charleston Bailee Wallace, FNP 595 Natchez Trace Dr, Lexington, TN 38351-1627 Ph: (731) 307-9413	Charleston Bailee Wallace, FNP 157 W Church St, Lexington, TN 38351-2011 Ph: (731) 968-8182

Reviews and Comments

Nurse Practitioner Nurses in Lexington, TN

Carol R Luckey, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 120 E Church St, Lexington, TN 38351 Phone: 731-968-0146 Fax: 731-968-9398
Pamela Clover Brunson, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16570 Highway 104 N, Ste B, Lexington, TN 38351 Phone: 731-968-2233
Hillary Blankenship, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1560 N Broad St, Lexington, TN 38351 Phone: 731-967-8813
Mrs. Brandy Bartholomew, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 157 W Church St, Lexington, TN 38351 Phone: 731-968-8182 Fax: 731-968-8185
Mrs. Janice Kay Mccormick, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1560 North Broad St, Lexington, TN 38351 Phone: 731-967-8813 Fax: 731-967-8815
Ashley Kate Melton, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10777 Highway 412 W, Lexington, TN 38351 Phone: 731-968-5558 Fax: 731-968-5567
Mrs. Elizabeth Ann Snider, CPNP-PC, RN, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10777 Highway 412 W, Lexington, TN 38351 Phone: 731-968-5558

Charleston Bailee Wallace, FNP - Medicare Nurse Practitioner in Lexington, TN