Kathleen Wallace, APN in Merrillville, IN - Medicare Nurse Practitioner

Kathleen Wallace, APN is a medicare enrolled "Nurse Practitioner" in Merrillville, Indiana. She graduated from nursing school in 1987 and has 37 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Nephrology Associates Of Northern Indiana Pc and her current practice location is 90 W 86th Ave, Merrillville, Indiana. You can reach out to her office (for appointments etc.) via phone at (219) 791-1555.

Kathleen Wallace is licensed to practice in Indiana (license number 71000826A) 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 1225035504.

Contact Information

	Kathleen Wallace, APN
	90 W 86th Ave, Merrillville, IN 46410-7086
	(219) 791-1555
	(219) 791-1560

Map and Direction

Provider's Profile

Full Name	Kathleen Wallace
Gender	Female
Speciality	Nurse Practitioner
Experience	37 Years
Location	90 W 86th Ave, Merrillville, Indiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kathleen Wallace graduated from nursing school in 1987

NPI Data:

NPI Number: 1225035504
Provider Enumeration Date: 07/01/2005
Last Update Date: 12/13/2022

Medicare PECOS Information:

PECOS PAC ID: 5294989000
Enrollment ID: I20130201000460

Medical Identifiers

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

Identifier	Type	State	Issuer
1225035504	NPI	-	NPPES
000000331131	Other	IN	ANTHEM BCBS NUMBER
100082060	Medicaid	IN
200280140B	Medicaid	IN
500012853	Other	IN	RR MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	71000826A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Mary Medical Center Inc	Hobart, IN	Hospital
Community Hospital	Munster, IN	Hospital
Franciscan Health Crown Point	Crown point, IN	Hospital
Methodist Hospitals Inc	Gary, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Nephrology Associates Of Northern Indiana Pc	8921033440	72

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. Kathleen Wallace allows following entities to bill medicare on her behalf.

Entity Name	Nephrology Associates Of Northern Indiana Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578505814 PECOS PAC ID: 8921033440 Enrollment ID: O20051003000799

Entity Name	Nephrology Associates Of Northern Illinois Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124069182 PECOS PAC ID: 2163328675 Enrollment ID: O20170705000259

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. Kathleen 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
Kathleen Wallace, APN 120 W 22nd St Ste 200, Oak Brook, IL 60523-1563 Ph: (630) 573-5000	Kathleen Wallace, APN 90 W 86th Ave, Merrillville, IN 46410-7086 Ph: (219) 791-1555

Reviews and Comments

Nurse Practitioner Nurses in Merrillville, IN

Sherri Lynn Hernandez, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8560 Broadway, Merrillville, IN 46410 Phone: 219-793-9248 Fax: 219-793-9387
Kimberly Dianell Armstrong, RN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5800 Broadway, Merrillville, IN 46410 Phone: 219-884-9180 Fax: 219-884-9280
Mrs. Darrian Renee Sullivan, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5825 Broadway, Merrillville, IN 46410 Phone: 219-689-3199
Danielle Jackson, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8645 Connecticut St, Merrillville, IN 46410 Phone: 219-769-3500
Cindy Chapman, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 90 W 86th Ave, Merrillville, IN 46410 Phone: 219-791-1555 Fax: 219-791-1560
Christopher Micheal Hatch, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8701 Broadway, Merrillville, IN 46410 Phone: 219-769-6639 Fax: 219-769-0636
Mrs. Kimberly R Sirk, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9120 Connecticut St Ste A, Merrillville, IN 46410 Phone: 219-793-1233 Fax: 219-793-1244

Kathleen Wallace, APN - Medicare Nurse Practitioner in Merrillville, IN