Imelda V Wallace, FNP-BC in El Paso, TX - Medicare Nurse Practitioner

Imelda V Wallace, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in El Paso, Texas. Her current practice location is 11860 Vista Del Sol Dr Ste 150, El Paso, Texas. You can reach out to her office (for appointments etc.) via phone at (915) 808-4000.

Imelda V Wallace is licensed to practice in Texas (license number 2022000137) 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 1003541095.

Contact Information

	Imelda V Wallace, FNP-BC
	11860 Vista Del Sol Dr Ste 150, El Paso, TX 79936-6128
	(915) 808-4000
	Not Available

Map and Direction

Provider's Profile

Full Name	Imelda V Wallace
Gender	Female
Speciality	Nurse Practitioner - Family
Location	11860 Vista Del Sol Dr Ste 150, El Paso, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003541095
Provider Enumeration Date: 07/22/2022
Last Update Date: 07/22/2022

Medicare PECOS Information:

PECOS PAC ID: 5193185080
Enrollment ID: I20230725000497

Medical Identifiers

Medical identifiers for Imelda V Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003541095	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	2022000137 (Texas)	Primary

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. Imelda V Wallace allows following entities to bill medicare on her behalf.

Entity Name	Rio Grande Urology Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750416921 PECOS PAC ID: 3476627878 Enrollment ID: O20080916000382

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. Imelda V 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
Imelda V Wallace, FNP-BC 11860 Vista Del Sol Dr Ste 150, El Paso, TX 79936-6128 Ph: (915) 808-4000	Imelda V Wallace, FNP-BC 11860 Vista Del Sol Dr Ste 150, El Paso, TX 79936-6128 Ph: (915) 808-4000

Reviews and Comments

Nurse Practitioner Nurses in El Paso, TX

Ms. Luelen D Cunyus, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8269 N Loop Dr, El Paso, TX 79907 Phone: 915-591-1615 Fax: 915-591-2875
Mirabelle Nofeh, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13001 Easlake Blvd, Suite 105, El Paso, TX 79928 Phone: 915-248-2345 Fax: 915-271-4412
Miss Bianca Elena Montes, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12501 Gateway Blvd S, El Paso, TX 79934 Phone: 915-834-4512
Joseph Jeffrey Miller, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4801 Alberta Ave, El Paso, TX 79905 Phone: 915-215-5400 Fax: 915-215-8632
Andres Baeza, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1551 Montana Ave, El Paso, TX 79902 Phone: 915-887-3410
Bryan Botello, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4305 N Mesa St, El Paso, TX 79902 Phone: 915-532-2477 Fax: 915-242-6461

Imelda V Wallace, FNP-BC - Medicare Nurse Practitioner in El Paso, TX