Harolyn Wallace, ANP - Medicare Nurse Practitioner in Alice, TX

  1. Home
  2. Nurse Practitioner
  3. TX
  4. Alice
Harolyn Wallace, ANP is a medicare enrolled "Nurse Practitioner - Family" in Alice, Texas. Her current practice location is 201 Mariposa, Alice, Texas. You can reach out to her office (for appointments etc.) via phone at (361) 664-8811.

Harolyn Wallace is licensed to practice in Texas (license number AP122716) 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 1104169911.

Contact Information

Harolyn Wallace, ANP
201 Mariposa,
Alice, TX 78332-4177
(361) 664-8811
(361) 664-8992

Map and Direction




Provider's Profile

Full NameHarolyn Wallace
GenderFemale
SpecialityNurse Practitioner - Family
Location201 Mariposa, Alice, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104169911
  • Provider Enumeration Date: 03/29/2013
  • Last Update Date: 11/19/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2163660358
  • Enrollment ID: I20130529000875

Medical Identifiers

Medical identifiers for Harolyn Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104169911NPI-NPPES
8396NAOtherTXBCBS
320242601MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family AP122716 (Texas)Primary
363L00000XNurse Practitioner 600813 (Texas)Secondary

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. Harolyn Wallace allows following entities to bill medicare on her behalf.
Entity NamePhysicians Referral Service
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073574810
PECOS PAC ID: 7911801410
Enrollment ID: O20031125000953
Entity NameMonzer H Yazji Md & Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073508545
PECOS PAC ID: 2062470529
Enrollment ID: O20041230000046

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. Harolyn 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
Harolyn Wallace, ANP
12223 Brookvalley Dr,
Houston, TX 77071-2702

Ph: (832) 724-4762		Harolyn Wallace, ANP
201 Mariposa,
Alice, TX 78332-4177

Ph: (361) 664-8811

Reviews and Comments


Nurse Practitioner Nurses in Alice, TX

Toni Clark, RN, MS, CFNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2500 E Main St, Alice, TX 78332
Phone: 713-456-5000    
Kristin Leni Dillon, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2510 E Main St Ste 102, Alice, TX 78332
Phone: 361-664-4445    Fax: 361-664-4449
Debra Kaye Alvarado, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 779 N Texas Blvd, Alice, TX 78332
Phone: 361-668-0919    Fax: 361-668-0816
Lacey Jasmine Eileen King, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1008 Medical Center Blvd, Alice, TX 78332
Phone: 361-668-4278    
Dovie Stewart, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 779 N Texas Blvd, Alice, TX 78332
Phone: 361-668-0919    Fax: 361-668-0816
Ana Ynfante Mayorga, APRN, AGPCNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1008 Medical Center Blvd, Alice, TX 78332
Phone: 361-668-4278    
Ms. Kimberley Michelle Mills, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1009 E 6th St, Alice, TX 78332
Phone: 361-668-8888    Fax: 361-664-1818

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.