Jessica Bowman Wallace, NP is a medicare enrolled "Nurse Practitioner - Family" in Cedar Bluff, Alabama. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Floyd Cherokee Medical Center Llc and her current practice location is
253 County Road 766, Cedar Bluff, Alabama. You can reach out to her office (for appointments etc.) via phone at
(256) 899-9147.
Jessica Bowman Wallace is licensed to practice in Georgia (license number RN241671) 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 1619561321.
Provider's Profile
| Full Name | Jessica Bowman Wallace |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 4 Years |
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| Location | 253 County Road 766, Cedar Bluff, Alabama |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jessica Bowman Wallace graduated from nursing school in 2020
NPI Data:
- NPI Number: 1619561321
- Provider Enumeration Date: 02/23/2021
- Last Update Date: 02/23/2021
Medicare PECOS Information:
- PECOS PAC ID: 6709295751
- Enrollment ID: I20240320000824
Medical Identifiers
Medical identifiers for Jessica Bowman Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1619561321 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | RN241671 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Floyd Cherokee Medical Center Llc | 4880949775 | 9 |
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. Jessica Bowman Wallace allows following entities to bill medicare on her behalf.
| Entity Name | Floyd Cherokee Medical Center Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154987402
PECOS PAC ID: 4880949775
Enrollment ID: O20180810002557 |
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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. Jessica Bowman 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 |
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Jessica Bowman Wallace, NP
304 Turner Mccall Blvd Sw,
Rome, GA 30165-5621
Ph: (706) 509-6110 | Jessica Bowman Wallace, NP
253 County Road 766,
Cedar Bluff, AL 35959-3595
Ph: (256) 899-9147 |
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