Katherine Marie Wallace, NP-C - Medicare Nurse Practitioner in Columbus, GA

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Katherine Marie Wallace, NP-C is a medicare enrolled "Nurse Practitioner - Adult Health" in Columbus, Georgia. She went to University Of Alabama School Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Columbus Physical Medicine Center Inc and her current practice location is 118 Enterprise Ct Ste B, Columbus, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 330-1389.

Katherine Marie Wallace is licensed to practice in Georgia (license number RN243697) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1548650617.

Contact Information

Katherine Marie Wallace, NP-C
118 Enterprise Ct Ste B,
Columbus, GA 31904-9228
(706) 330-1389
(706) 330-1392

Map and Direction




Provider's Profile

Full NameKatherine Marie Wallace
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location118 Enterprise Ct Ste B, Columbus, Georgia
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Katherine Marie Wallace attended and graduated from University Of Alabama School Of Medicine in 2014
  NPI Data:
  • NPI Number: 1548650617
  • Provider Enumeration Date: 01/28/2015
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3971821273
  • Enrollment ID: I20150417000322

Medical Identifiers

Medical identifiers for Katherine Marie Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548650617NPI-NPPES
003161276BMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health A0714020 (Alabama)Secondary
363LA2200XNurse Practitioner - Adult Health RN243697 (Georgia)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. Katherine Marie Wallace allows following entities to bill medicare on her behalf.
Entity NameSouthwest Georgia Center Of Medicine, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730418021
PECOS PAC ID: 4880729045
Enrollment ID: O20100315000030
Entity NameColumbus Physical Medicine Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922346162
PECOS PAC ID: 5799920799
Enrollment ID: O20130322000082
Entity NameColumbus Joint Pain Solutions And Functional Medicine Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841056140
PECOS PAC ID: 4688013782
Enrollment ID: O20240423001480

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. Katherine Marie 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 AddressPractice Location Address
Katherine Marie Wallace, NP-C
2702 Betchet Lane,
Opelika, AL 36801-6153

Ph: (334) 750-1421		Katherine Marie Wallace, NP-C
118 Enterprise Ct Ste B,
Columbus, GA 31904-9228

Ph: (706) 330-1389

Reviews and Comments


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Mrs. Ann Marie Blair, NP-C
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.