Lisa M Wallace, FNP in Florence, SC - Medicare Nurse Practitioner

Lisa M Wallace, FNP is a medicare enrolled "Nurse Practitioner - Family" in Florence, South Carolina. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mcleod Physician Associates Ii and her current practice location is 800 E Cheves St Ste 200, Florence, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 662-1502.

Lisa M Wallace is licensed to practice in South Carolina (license number 21595) 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 1235637182.

Contact Information

	Lisa M Wallace, FNP
	800 E Cheves St Ste 200, Florence, SC 29506-2651
	(843) 662-1502
	(843) 678-3611

Map and Direction

Provider's Profile

Full Name	Lisa M Wallace
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	800 E Cheves St Ste 200, Florence, South Carolina
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:

Lisa M Wallace graduated from nursing school in 2017

NPI Data:

NPI Number: 1235637182
Provider Enumeration Date: 01/25/2018
Last Update Date: 02/24/2021

Medicare PECOS Information:

PECOS PAC ID: 6709140619
Enrollment ID: I20180501000702

Medical Identifiers

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

Identifier	Type	State	Issuer
1235637182	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	21595 (South Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kindred At Home	Florence, SC	Home health agency
Mcleod Regional Medical Center-pee Dee	Florence, SC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mcleod Physician Associates Ii	8224031307	543

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. Lisa M Wallace allows following entities to bill medicare on her behalf.

Entity Name	Mcleod Physician Associates Ii
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801990494 PECOS PAC ID: 8224031307 Enrollment ID: O20060926000568

Entity Name	Mcleod Health Clarendon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508218793 PECOS PAC ID: 0840582656 Enrollment ID: O20160915000930

Entity Name	Elite Patient Care Of South Carolina Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316477896 PECOS PAC ID: 1951672617 Enrollment ID: O20170731000866

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. Lisa M 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
Lisa M Wallace, FNP Po Box 3239, Florence, SC 29502-3239 Ph: (843) 777-7098	Lisa M Wallace, FNP 800 E Cheves St Ste 200, Florence, SC 29506-2651 Ph: (843) 662-1502

Reviews and Comments

Nurse Practitioner Nurses in Florence, SC

Mrs. Callie Hanson Carpenter, F.N.P Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 555 E Cheves St, Florence, SC 29506 Phone: 843-777-2000
Jessica Ann Reviea, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1594 Freedom Blvd Ste 100, Florence, SC 29505 Phone: 843-674-4787
Jennifer Lucas Reid, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 214 W Pine St, Florence, SC 29501 Phone: 843-661-0500 Fax: 436-617-3708
Christy Mcwhite, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 145 E Cheves St, Florence, SC 29506 Phone: 843-661-4835
Betty Gattison, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 E Cheves St, Florence, SC 29506 Phone: 843-669-6694
Theressa L Garris, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 204 E Cheves St, Florence, SC 29506 Phone: 843-777-7601 Fax: 843-662-2474
Michelle D Poston, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 360 N Irby St, Florence, SC 29501 Phone: 843-667-9414 Fax: 843-667-1362

Lisa M Wallace, FNP - Medicare Nurse Practitioner in Florence, SC