Kristi Wallace, FNP in Eugene, OR - Medicare Nurse Practitioner

Kristi Wallace, FNP is a medicare enrolled "Nurse Practitioner - Family" in Eugene, Oregon. Her current practice location is 74 E 18th Ave, Ste 5, Eugene, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 255-2248.

Kristi Wallace is licensed to practice in Oregon (license number 201050185NP) 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 1851609945.

Contact Information

	Kristi Wallace, FNP
	74 E 18th Ave, Ste 5, Eugene, OR 97401-4081
	(541) 255-2248
	(541) 735-3260

Map and Direction

Provider's Profile

Full Name	Kristi Wallace
Gender	Female
Speciality	Nurse Practitioner - Family
Location	74 E 18th Ave, Eugene, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851609945
Provider Enumeration Date: 09/22/2010
Last Update Date: 10/13/2016

Medicare PECOS Information:

PECOS PAC ID: 0749460798
Enrollment ID: I20110208000418

Medical Identifiers

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

Identifier	Type	State	Issuer
1851609945	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	201050185NP (Oregon)	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. Kristi Wallace allows following entities to bill medicare on her behalf.

Entity Name	Bristol Advanced Illness Management - Oregon Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083364749 PECOS PAC ID: 9335526060 Enrollment ID: O20220518000244

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. Kristi 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
Kristi Wallace, FNP 74 E 18th Ave, Ste 5, Eugene, OR 97401-4081 Ph: (541) 343-3455	Kristi Wallace, FNP 74 E 18th Ave, Ste 5, Eugene, OR 97401-4081 Ph: (541) 255-2248

Reviews and Comments

Nurse Practitioner Nurses in Eugene, OR

Dr. Barbara Johnson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 995 Willagillespie Rd # 100, Eugene, OR 97401 Phone: 541-484-5437
Lindsey Wilson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10 Coburg Rd Ste 201, Eugene, OR 97401 Phone: 541-687-8581 Fax: 541-343-1411
Kennedy Ogbonna Anyanwu, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 66 Club Rd Ste 120, Eugene, OR 97401 Phone: 832-267-6258
Laurie C Carmichael, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1200 Hilyard St, Suite 440, Eugene, OR 97401 Phone: 458-205-6061 Fax: 541-687-6067
Mrs. Christy J. Green, PMHNP-BC; FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1255 Pearl St Ste 102, Eugene, OR 97401 Phone: 541-687-2063
Mrs. Nelda Ogden, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4010 Aerial Way, Eugene, OR 97402 Phone: 541-242-8300 Fax: 541-242-8335
Jonathan Shaw, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1755 Coburg Rd Unit 502, Eugene, OR 97401 Phone: 888-468-9669 Fax: 541-632-4850

Kristi Wallace, FNP - Medicare Nurse Practitioner in Eugene, OR