Mr Michael Alan Wallace, CNP in Albuquerque, NM

Mr Michael Alan Wallace, CNP is a medicare enrolled "Nurse Practitioner - Family" in Albuquerque, New Mexico. His current practice location is 8210 Louisiana Blvd Ne, Suite C, Albuquerque, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 858-1222.

Mr Michael Alan Wallace is licensed to practice in New Mexico (license number R48828) 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 1003057852.

Contact Information

	Mr Michael Alan Wallace, CNP
	8210 Louisiana Blvd Ne, Suite C, Albuquerque, NM 87113-1761
	(505) 858-1222
	(505) 858-1224

Map and Direction

Provider's Profile

Full Name	Mr Michael Alan Wallace
Gender	Male
Speciality	Nurse Practitioner - Family
Location	8210 Louisiana Blvd Ne, Albuquerque, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003057852
Provider Enumeration Date: 03/07/2009
Last Update Date: 03/11/2013

Medicare PECOS Information:

PECOS PAC ID: 3375693914
Enrollment ID: I20090602000665

Medical Identifiers

Medical identifiers for Mr Michael Alan Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003057852	NPI	-	NPPES
29623341	Medicaid	NM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R48828 (New Mexico)	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. Mr Michael Alan Wallace allows following entities to bill medicare on his behalf.

Entity Name	Santa Fe Pain And Spine Specialists Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700814316 PECOS PAC ID: 4385694975 Enrollment ID: O20050331001151

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. Mr Michael Alan 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
Mr Michael Alan Wallace, CNP 8210 Louisiana Blvd Ne, Suite C, Albuquerque, NM 87113-1761 Ph: (505) 858-1222	Mr Michael Alan Wallace, CNP 8210 Louisiana Blvd Ne, Suite C, Albuquerque, NM 87113-1761 Ph: (505) 858-1222

Reviews and Comments

Nurse Practitioner Nurses in Albuquerque, NM

Mrs. Kristell L Michael, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Us Air Force 377 Mdg/sghc 2050a Second Street Se, Albuquerque, NM 87117 Phone: 505-846-3562 Fax: 334-953-8607
Ms. Maureen Kolomeir, RN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5345 Wyoming Blvd, Suite 101, Albuquerque, NM 87109 Phone: 505-856-6898 Fax: 505-292-1574
Patricia J Miller, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Care Campus, 5901 Zuni Rd Se, Albuquerque, NM 87108 Phone: 505-321-4269
Mrs. Jessika Junick, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3825 Eubank Blvd Ne Ste A, Albuquerque, NM 87111 Phone: 505-292-8575 Fax: 505-292-8409
Phyllis Annette Ingham, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 Lead Ave Se, Albuquerque, NM 87106 Phone: 505-224-7000
Debra Vaccaro, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3500 Comanche Rd Ne Ste C, Albuquerque, NM 87107 Phone: 505-998-7200 Fax: 505-998-7220

Mr Michael Alan Wallace, CNP - Medicare Nurse Practitioner in Albuquerque, NM