Gayle M Wallace, ARNP in Davenport, IA - Medicare Certified Nurse Midwife (cnm)

Gayle M Wallace, ARNP is a medicare enrolled "Nurse Practitioner - Women's Health" in Davenport, Iowa. She graduated from nursing school in 1996 and has 28 years of diverse experience with area of expertise as Certified Nurse Midwife (cnm). She is a member of the group practice Iowa Cancer Specialists, Pc and her current practice location is 3385 Dexter Ct, Ste 110, Davenport, Iowa. You can reach out to her office (for appointments etc.) via phone at (563) 355-2244.

Gayle M Wallace is licensed to practice in Iowa (license number B096425) 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 1679552871.

Contact Information

	Gayle M Wallace, ARNP
	3385 Dexter Ct, Ste 110, Davenport, IA 52807-3494
	(563) 355-2244
	(563) 344-6701

Map and Direction

Provider's Profile

Full Name	Gayle M Wallace
Gender	Female
Speciality	Certified Nurse Midwife (cnm)
Experience	28 Years
Location	3385 Dexter Ct, Davenport, Iowa
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:

Gayle M Wallace graduated from nursing school in 1996

NPI Data:

NPI Number: 1679552871
Provider Enumeration Date: 01/16/2006
Last Update Date: 02/13/2013

Medicare PECOS Information:

PECOS PAC ID: 7416973342
Enrollment ID: I20051024000113

Medical Identifiers

Medical identifiers for Gayle M Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679552871	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LW0102X	Nurse Practitioner - Women's Health	B096425 (Iowa)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Central Dupage Hospital	Winfield, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Iowa Cancer Specialists, Pc	4587555792	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. Gayle M Wallace allows following entities to bill medicare on her behalf.

Entity Name	State University Of Iowa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477554814 PECOS PAC ID: 7618884230 Enrollment ID: O20031107000060

Entity Name	Iowa Cancer Specialists, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891803011 PECOS PAC ID: 4587555792 Enrollment ID: O20040324001151

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. Gayle M 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
Gayle M Wallace, ARNP 200 Hawkins Dr, Iowa City, IA 52242-1009 Ph: (563) 355-2244	Gayle M Wallace, ARNP 3385 Dexter Ct, Ste 110, Davenport, IA 52807-3494 Ph: (563) 355-2244

Reviews and Comments

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Julia A Hull, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1351 W Central Park Ave, Suite 360, Davenport, IA 52804 Phone: 563-421-4244 Fax: 563-421-4285

Gayle M Wallace, ARNP - Medicare Certified Nurse Midwife (cnm) in Davenport, IA