Joanne Wallace, RN is a
Registered Nurse based in Shepherd, Michigan. Joanne Wallace is licensed to practice in Michigan (license number 4704266337) and her current practice location is
121 Dearing Dr, Shepherd, Michigan. She can be reached at her office (for appointments etc.) via phone at
(989) 430-5772.
NPI number for Joanne Wallace is 1144633991 and her current mailing address is 121 Dearing Dr, Shepherd, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1144633991.
Provider's Profile
Full Name | Joanne Wallace |
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Gender | Female |
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Speciality | Registered Nurse |
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Location | 121 Dearing Dr, Shepherd, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1144633991
- Provider Enumeration Date: 06/10/2014
- Last Update Date: 06/10/2014
Medical Identifiers
Medical identifiers for Joanne Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1144633991 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 4704266337 (Michigan) | Primary |
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 Wallace is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Joanne Wallace, RN 121 Dearing Dr, Shepherd, MI 48883-8000 Ph: (989) 430-5772 | Joanne Wallace, RN 121 Dearing Dr, Shepherd, MI 48883-8000 Ph: (989) 430-5772 |
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