Issaiah Wallace, PMHNP in Weston, WV - Medicare Nurse Practitioner

Issaiah Wallace, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Weston, West Virginia. He graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice William R Sharpe Jr Hospital and his current practice location is 936 Sharpe Hospital Rd, Weston, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 269-1210.

Issaiah Wallace is licensed to practice in West Virginia (license number 102650) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1508422338.

Contact Information

	Issaiah Wallace, PMHNP
	936 Sharpe Hospital Rd, Weston, WV 26452-8550
	(304) 269-1210
	Not Available

Map and Direction

Provider's Profile

Full Name	Issaiah Wallace
Gender	Male
Speciality	Nurse Practitioner
Experience	6 Years
Location	936 Sharpe Hospital Rd, Weston, West Virginia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Issaiah Wallace graduated from nursing school in 2018

NPI Data:

NPI Number: 1508422338
Provider Enumeration Date: 05/16/2019
Last Update Date: 05/16/2019

Medicare PECOS Information:

PECOS PAC ID: 8325475643
Enrollment ID: I20200226002954

Medical Identifiers

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

Identifier	Type	State	Issuer
1508422338	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	102650 (West Virginia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
William R Sharpe Jr Hospital	8224949383	18

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. Issaiah Wallace allows following entities to bill medicare on his behalf.

Entity Name	William R Sharpe Jr Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770581118 PECOS PAC ID: 8224949383 Enrollment ID: O20040122000670

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. Issaiah 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
Issaiah Wallace, PMHNP Po Box 12, Enterprise, WV 26568-0012 Ph: (304) 709-8420	Issaiah Wallace, PMHNP 936 Sharpe Hospital Rd, Weston, WV 26452-8550 Ph: (304) 269-1210

Reviews and Comments

Nurse Practitioner Nurses in Weston, WV

Nicole Radabaugh, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Minuteman Dr, Weston, WV 26452 Phone: 304-999-7870 Fax: 304-269-0165
Ms. Jessica Ann Smith, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 107 Staunton Dr, Weston, WV 26452 Phone: 304-269-2022 Fax: 304-269-2037
Sheree Tiffany Gruber, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 936 Sharpe Hospital Rd, Weston, WV 26452 Phone: 304-269-1210
Mrs. Brittany Lynn Gregory, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 230 Hospital Plz, Weston, WV 26452 Phone: 304-269-8000
Leigh Anne Jackson, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 230 Hospital Plz, Weston, WV 26452 Phone: 304-269-0030
Stephanie Dawn Barker, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 230 Hospital Plz, Weston, WV 26452 Phone: 304-269-8000
Jennifer Kathleen Frazier, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 936 Sharpe Hospital Rd, Weston, WV 26452 Phone: 304-269-1210 Fax: 304-269-6235

Issaiah Wallace, PMHNP - Medicare Nurse Practitioner in Weston, WV