Michael T Wallace, ARNP - Medicare Nurse Practitioner in Minnetonka, MN

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Michael T Wallace, ARNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Minnetonka, Minnesota. His current practice location is 9900 Bren Rd E, Minnetonka, Minnesota. You can reach out to his office (for appointments etc.) via phone at (352) 529-7314.

Michael T Wallace is licensed to practice in Florida (license number ARNP2975042) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1194029777.

Contact Information

Michael T Wallace, ARNP
9900 Bren Rd E,
Minnetonka, MN 55343-9664
(352) 529-7314
Not Available

Map and Direction




Provider's Profile

Full NameMichael T Wallace
GenderMale
SpecialityNurse Practitioner - Adult Health
Location9900 Bren Rd E, Minnetonka, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1194029777
  • Provider Enumeration Date: 12/22/2010
  • Last Update Date: 03/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1456514520
  • Enrollment ID: I20161110000358

Medical Identifiers

Medical identifiers for Michael T Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194029777NPI-NPPES
007980600MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 7139-33 (Wisconsin)Secondary
363LA2200XNurse Practitioner - Adult Health ARNP2975042 (Florida)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. Michael T Wallace allows following entities to bill medicare on his behalf.
Entity NameMemorial Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346239373
PECOS PAC ID: 2365433224
Enrollment ID: O20040519001426

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. Michael T 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
Michael T Wallace, ARNP
Po Box 953,
Coleman, FL 33521-0953

Ph: (352) 254-0153		Michael T Wallace, ARNP
9900 Bren Rd E,
Minnetonka, MN 55343-9664

Ph: (352) 529-7314

Reviews and Comments


Nurse Practitioner Nurses in Minnetonka, MN

Mavis Osei Yeboah, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 9900 Bren Rd E, Minnetonka, MN 55343
Phone: 336-549-6221    
Alane Renee Hartlage, N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 9900 Bren Rd E, Minnetonka, MN 55343
Phone: 608-286-0556    
Dawn M Schaefer, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 9900 Bren Rd E, Minnetonka, MN 55343
Phone: 414-477-9978    
Rose M Paz, ARNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 9900 Bren Road East, Mail Route Mn 008-b213, Minnetonka, MN 55343
Phone: 855-247-8847    
Raul Rodriguez, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 9900 Bren Rd E, Minnetonka, MN 55343
Phone: 915-218-8568    
Ms. Susanna Monroe, ARNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: Unitedhealth Group Corporate Address, 9900 Bren Road East, Minnetonka, MN 55343
Phone: 941-875-5890    
Karry Ermita Audain, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 9900 Bren Rd E, Minnetonka, MN 55343
Phone: 305-432-1249    

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.