Dr Cesalie Deonne Wallace, APN in Jacksonville, AR

Dr Cesalie Deonne Wallace, APN is a medicare enrolled "Nurse Practitioner - Family" in Jacksonville, Arkansas. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice University Of Arkansas and her current practice location is 3000 North First Street, Jacksonville, Arkansas. You can reach out to her office (for appointments etc.) via phone at (501) 982-7477.

Dr Cesalie Deonne Wallace is licensed to practice in Arkansas (license number A003758) 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 1407104052.

Contact Information

	Dr Cesalie Deonne Wallace, APN
	3000 North First Street, Jacksonville, AR 72076
	(501) 982-7477
	Not Available

Map and Direction

Provider's Profile

Full Name	Dr Cesalie Deonne Wallace
Gender	Female
Speciality	Nurse Practitioner
Experience	12 Years
Location	3000 North First Street, Jacksonville, Arkansas
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:

Dr Cesalie Deonne Wallace graduated from nursing school in 2012

NPI Data:

NPI Number: 1407104052
Provider Enumeration Date: 08/29/2012
Last Update Date: 08/29/2012

Medicare PECOS Information:

PECOS PAC ID: 5496986465
Enrollment ID: I20140317000980

Medical Identifiers

Medical identifiers for Dr Cesalie Deonne Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407104052	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	A003758 (Arkansas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Uams Medical Center	Little rock, AR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Of Arkansas	4082528955	1098

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. Dr Cesalie Deonne Wallace allows following entities to bill medicare on her behalf.

Entity Name	University Of Arkansas For Medical Sciences
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588654016 PECOS PAC ID: 4082528955 Enrollment ID: O20031219000706

Entity Name	St Vincent Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134176480 PECOS PAC ID: 5698758803 Enrollment ID: O20040622000224

Entity Name	St. Vincent Physician Clinics Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134558398 PECOS PAC ID: 5395975379 Enrollment ID: O20140313001812

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. Dr Cesalie Deonne 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
Dr Cesalie Deonne Wallace, APN 3000 North First Street, Jacksonville, AR 72076 Ph: (501) 982-7477	Dr Cesalie Deonne Wallace, APN 3000 North First Street, Jacksonville, AR 72076 Ph: (501) 982-7477

Reviews and Comments

Nurse Practitioner Nurses in Jacksonville, AR

Ashley Marie Randall, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 216 Chigger Valley Rd, Jacksonville, AR 72076 Phone: 501-650-2041
Rita Margaret Odom, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1400 Braden St, Jacksonville, AR 72076 Phone: 800-893-9698
Destiny Yvonne Frazier, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1012 Puritan Dr, Jacksonville, AR 72076 Phone: 501-313-8119
Whitney Reed, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1110 W Main St, Jacksonville, AR 72076 Phone: 501-982-2108 Fax: 501-982-4951
Ashley Renee Poppy, APRN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1401 Braden St, Jacksonville, AR 72076 Phone: 501-985-2537
Sue Sullivan, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1409 Braden St, Jacksonville, AR 72076 Phone: 501-982-0576 Fax: 501-982-0041

Dr Cesalie Deonne Wallace, APN - Medicare Nurse Practitioner in Jacksonville, AR