Lisa Wallace, CNP in Greenville, SC - Medicare Nurse Practitioner

Lisa Wallace, CNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Greenville, South Carolina. She graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Summa Physicians Inc and her current practice location is 200 Patewood Dr Ste B300, Greenville, South Carolina. You can reach out to her office (for appointments etc.) via phone at (864) 454-4200.

Lisa Wallace is licensed to practice in South Carolina (license number 28748) 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 1013349000.

Contact Information

	Lisa Wallace, CNP
	200 Patewood Dr Ste B300, Greenville, SC 29615-6338
	(864) 454-4200
	(864) 454-4205

Map and Direction

Provider's Profile

Full Name	Lisa Wallace
Gender	Female
Speciality	Nurse Practitioner
Experience	11 Years
Location	200 Patewood Dr Ste B300, Greenville, 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 Wallace graduated from nursing school in 2013

NPI Data:

NPI Number: 1013349000
Provider Enumeration Date: 08/01/2013
Last Update Date: 09/13/2024

Medicare PECOS Information:

PECOS PAC ID: 2466695648
Enrollment ID: I20130909000377

Medical Identifiers

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

Identifier	Type	State	Issuer
1013349000	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	NP-14866 (Ohio)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	28748 (South Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Summa Health System	Akron, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Summa Physicians Inc	2961303532	620

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 Wallace allows following entities to bill medicare on her behalf.

Entity Name	Summa Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235167719 PECOS PAC ID: 2961303532 Enrollment ID: O20040116000295

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 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 Wallace, CNP 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (864) 522-8603	Lisa Wallace, CNP 200 Patewood Dr Ste B300, Greenville, SC 29615-6338 Ph: (864) 454-4200

Reviews and Comments

Nurse Practitioner Nurses in Greenville, SC

Jennifer Hardy Singletary, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 525 Verdae Blvd Ste 150, Greenville, SC 29607 Phone: 864-720-1900 Fax: 864-720-1901
Tracey Ann Hoxie, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3807 White Horse Rd Ste Dande, Greenville, SC 29611 Phone: 864-236-5688
Matthew Keaton, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 357 Woodruff Rd, Greenville, SC 29607 Phone: 864-522-8350
Jason Collins, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 701 Grove Rd Fl 1, Greenville, SC 29605 Phone: 864-455-7000
Mary Katelyn Hodges, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2210 Laurens Rd, Greenville, SC 29607 Phone: 864-288-8280
Mr. Matthew Fischer, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 255 Enterprise Blvd Ste 101, Greenville, SC 29615 Phone: 864-454-8120 Fax: 864-454-8125
Rebecca Dawn Leicht, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1809 Wade Hampton Blvd Ste 120, Greenville, SC 29609 Phone: 864-522-5000 Fax: 864-241-9275

Lisa Wallace, CNP - Medicare Nurse Practitioner in Greenville, SC