Eveline S Wallace, ARNP in Orlando, FL - Medicare Nurse Practitioner

Eveline S Wallace, ARNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Orlando, Florida. She graduated from nursing school in 2001 and has 23 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Providence Medical Foundation and her current practice location is 2415 N Orange Ave, Suite # 700, Orlando, Florida. You can reach out to her office (for appointments etc.) via phone at (407) 303-7171.

Eveline S Wallace is licensed to practice in Florida (license number 1728202) 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 1427058932.

Contact Information

	Eveline S Wallace, ARNP
	2415 N Orange Ave, Suite # 700, Orlando, FL 32804-5505
	(407) 303-7171
	(407) 303-7195

Map and Direction

Provider's Profile

Full Name	Eveline S Wallace
Gender	Female
Speciality	Nurse Practitioner
Experience	23 Years
Location	2415 N Orange Ave, Orlando, Florida
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:

Eveline S Wallace graduated from nursing school in 2001

NPI Data:

NPI Number: 1427058932
Provider Enumeration Date: 07/26/2005
Last Update Date: 11/11/2021

Medicare PECOS Information:

PECOS PAC ID: 8426052994
Enrollment ID: I20191118003052

Medical Identifiers

Medical identifiers for Eveline S Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427058932	NPI	-	NPPES
P00360116	Other	FL	RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	1728202 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Joseph Hospital	Eureka, CA	Hospital
Mad River Community Hospital	Arcata, CA	Hospital
Redwood Memorial Hospital	Fortuna, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Medical Foundation	8921993205	1312

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. Eveline S Wallace allows following entities to bill medicare on her behalf.

Entity Name	Providence Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346

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. Eveline S 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
Eveline S Wallace, ARNP 2415 N Orange Ave, Suite # 700, Orlando, FL 32804-5505 Ph: (407) 303-7171	Eveline S Wallace, ARNP 2415 N Orange Ave, Suite # 700, Orlando, FL 32804-5505 Ph: (407) 303-7171

Reviews and Comments

Nurse Practitioner Nurses in Orlando, FL

Janine Marie Kyte, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5449 S Semoran Blvd, Suite 14, Orlando, FL 32822 Phone: 407-322-8645 Fax: 407-322-8725
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Mr. Heng Chai Lai, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 86 W Underwood St, Orlando, FL 32806 Phone: 321-843-5270 Fax: 321-843-5177
Mrs. Ellen G Tindal, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 60 W Gore St, Orlando, FL 32806 Phone: 321-841-3338 Fax: 321-841-2170
Ms. Dawn Michelle Fowler, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 89 W Copeland Dr, Orlando, FL 32806 Phone: 321-841-7550 Fax: 321-841-8185
Rachell Renee Davis, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 736 N Magnolia Ave, Orlando, FL 32803 Phone: 407-423-7149 Fax: 407-422-0470

Eveline S Wallace, ARNP - Medicare Nurse Practitioner in Orlando, FL