Joanne M Wallis, PNP in Vancouver, WA - Medicare Nurse Practitioner

Joanne M Wallis, PNP is a medicare enrolled "Nurse Practitioner - Primary Care" in Vancouver, Washington. Her current practice location is 19005 Se 34th St, Vancouver, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 726-6724.

Joanne M Wallis is licensed to practice in Washington (license number AP30006123) 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 1932370756.

Contact Information

	Joanne M Wallis, PNP
	19005 Se 34th St, Vancouver, WA 98683-1450
	(360) 726-6724
	(360) 726-6718

Map and Direction

Provider's Profile

Full Name	Joanne M Wallis
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	19005 Se 34th St, Vancouver, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932370756
Provider Enumeration Date: 03/19/2008
Last Update Date: 03/17/2018

Medicare PECOS Information:

PECOS PAC ID: 0042487860
Enrollment ID: I20120119000459

Medical Identifiers

Medical identifiers for Joanne M Wallis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932370756	NPI	-	NPPES
022959	Medicaid	OR
22959	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	091000332N2-PNP-PP (Oregon)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	AP30006123 (Washington)	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. Joanne M Wallis allows following entities to bill medicare on her behalf.

Entity Name	Multnomah County
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609914787 PECOS PAC ID: 6608771787 Enrollment ID: O20031203000025

Entity Name	Nicola J Cherry Md Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760415525 PECOS PAC ID: 6709069685 Enrollment ID: O20110330000933

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. Joanne M Wallis 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
Joanne M Wallis, PNP 426 Sw Stark St Fl 9, Portland, OR 97204-2347 Ph: (503) 988-5958	Joanne M Wallis, PNP 19005 Se 34th St, Vancouver, WA 98683-1450 Ph: (360) 726-6724

Reviews and Comments

Nurse Practitioner Nurses in Vancouver, WA

Mrs. Tracy Lynn Clason, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 108 Se 124th Ave, Suite 22, Vancouver, WA 98684 Phone: 360-882-7603 Fax: 360-896-0337
Ms. Mary Louise Kroske, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10500 Ne 86th St, Vancouver, WA 98662 Phone: 425-359-6706 Fax: 369-604-6777
Julie Ann Thompson, FNP-C. PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1601 E 4th Plain Blvd Bldg 11, Vancouver, WA 98661 Phone: 360-696-4061
Shannon Kristine Urban, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16811 Se Mcgillivray Blvd, Vancouver, WA 98683 Phone: 360-735-8100
Mr. Richard Francis Gebhardt, CRNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3400 Main St, Vancouver, WA 98663 Phone: 360-696-5232 Fax: 360-696-5228
Todd Skenandore, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2529 Ne 139th St Ste 110, Vancouver, WA 98686 Phone: 360-882-2778
Nina Tran, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 180 Ne 192nd Ave Ste 505, Vancouver, WA 98684 Phone: 503-305-6262

Joanne M Wallis, PNP - Medicare Nurse Practitioner in Vancouver, WA