Michael Wallis, NP - Medicare Nurse Practitioner in Jennings, LA

  1. Home
  2. Nurse Practitioner
  3. LA
  4. Jennings
Michael Wallis, NP is a medicare enrolled "Nurse Practitioner" in Jennings, Louisiana. He graduated from nursing school in 2005 and has 19 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Hospital Service District 1 Of East Baton Rouge Parish, Pcp Urgent Care Holdings Llc and his current practice location is 1634 Elton Rd, Jennings, Louisiana. You can reach out to his office (for appointments etc.) via phone at (800) 893-9698.

Michael Wallis is licensed to practice in Louisiana (license number RN112816) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1285050690.

Contact Information

Michael Wallis, NP
1634 Elton Rd,
Jennings, LA 70546-3614
(800) 893-9698
Not Available

Map and Direction




Provider's Profile

Full NameMichael Wallis
GenderMale
SpecialityNurse Practitioner
Experience19 Years
Location1634 Elton Rd, Jennings, Louisiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Michael Wallis graduated from nursing school in 2005
  NPI Data:
  • NPI Number: 1285050690
  • Provider Enumeration Date: 03/10/2014
  • Last Update Date: 01/26/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 0345471751
  • Enrollment ID: I20140328000930

Medical Identifiers

Medical identifiers for Michael Wallis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285050690NPI-NPPES
2356003MedicaidLA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner RN112816 (Louisiana)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hospital Service District 1 Of East Baton Rouge Parish094119190227
Pcp Urgent Care Holdings Llc509201681641

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 Wallis allows following entities to bill medicare on his behalf.
Entity NameHospital Service District #1 Of East Baton Rouge Parish
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962437681
PECOS PAC ID: 0941191902
Enrollment ID: O20040322000429
Entity NameJefferson Davis Emergency Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043289572
PECOS PAC ID: 2365496775
Enrollment ID: O20050309000285
Entity NameSt Tammany Emergency Physicians Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891187654
PECOS PAC ID: 7214255967
Enrollment ID: O20150409001843
Entity NamePcp Urgent Care Holdings Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245601038
PECOS PAC ID: 5092016816
Enrollment ID: O20151222000155

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 Wallis 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 Wallis, NP
200 Corporate Blvd, Suite 201,
Lafayette, LA 70508-3870

Ph: () -		Michael Wallis, NP
1634 Elton Rd,
Jennings, LA 70546-3614

Ph: (800) 893-9698

Reviews and Comments


Nurse Practitioner Nurses in Jennings, LA

Christian Lewis, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1322 Elton Rd, Suite P, Jennings, LA 70546
Phone: 337-824-2282    Fax: 337-824-0058
Ms. Brandy Marie Heinrich, FNP BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1750 Elton Rd, Jennings, LA 70546
Phone: 337-329-6565    Fax: 337-329-6575
Karen Lynn Golla, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 422 Kade Dr Ste 1, Jennings, LA 70546
Phone: 337-388-6200    Fax: 337-388-6201
Amy Elizabeth Hulsey, APRN, WHNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 805 State St, Jennings, LA 70546
Phone: 337-824-6150    
Mr. Damian Broussard, F.N.P
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1607 Johnson St, Jennings, LA 70546
Phone: 337-849-8328    
Jonathan Rochon, FNP-C, AGACNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1634 Elton Rd, Jennings, LA 70546
Phone: 337-616-7000    

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.