Mr Spencer Riley Wallace, CRNP in Gadsden, AL

Mr Spencer Riley Wallace, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Gadsden, Alabama. He went to University Of Alabama School Of Medicine and graduated in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Clinical Urology Associates, P.c. and his current practice location is 713 Goodyear Ave, Gadsden, Alabama. You can reach out to his office (for appointments etc.) via phone at (256) 492-4040.

Mr Spencer Riley Wallace is licensed to practice in Alabama (license number 1-147129) 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 1831713387.

Contact Information

	Mr Spencer Riley Wallace, CRNP
	713 Goodyear Ave, Gadsden, AL 35903-1156
	(256) 492-4040
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Spencer Riley Wallace
Gender	Male
Speciality	Nurse Practitioner
Experience	5 Years
Location	713 Goodyear Ave, Gadsden, Alabama
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Spencer Riley Wallace attended and graduated from University Of Alabama School Of Medicine in 2019

NPI Data:

NPI Number: 1831713387
Provider Enumeration Date: 06/01/2020
Last Update Date: 09/13/2023

Medicare PECOS Information:

PECOS PAC ID: 3779902069
Enrollment ID: I20201006002786

Medical Identifiers

Medical identifiers for Mr Spencer Riley Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831713387	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1-147129 (Alabama)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Gadsden Regional Medical Center	Gadsden, AL	Hospital
Riverview Regional Medical Center	Gadsden, AL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Clinical Urology Associates, P.c.	0749254241	9

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 Spencer Riley Wallace allows following entities to bill medicare on his behalf.

Entity Name	Clinical Urology Associates, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952369860 PECOS PAC ID: 0749254241 Enrollment ID: O20040820000950

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 Spencer Riley 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 Spencer Riley Wallace, CRNP Po Box 697, Boaz, AL 35957-0697 Ph: (256) 840-8181	Mr Spencer Riley Wallace, CRNP 713 Goodyear Ave, Gadsden, AL 35903-1156 Ph: (256) 492-4040

Reviews and Comments

Nurse Practitioner Nurses in Gadsden, AL

Caroline F Sullivan, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1409 Springfield Ave, Gadsden, AL 35903 Phone: 256-439-6383
Ms. Mary Ellen Burgess-parker, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1401 Rainbow Dr, Gadsden, AL 35901 Phone: 256-543-9497 Fax: 256-543-1343
Jessica Duvall, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 525 S 3rd St Ste D, Gadsden, AL 35901 Phone: 256-438-5107
Mrs. Tracy Calhoun, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 104 Buckingham Pl, Gadsden, AL 35904 Phone: 256-295-0057
Mrs. Tiffany Lauren Sweatt, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 501 Bay St, Gadsden, AL 35901 Phone: 256-543-2894 Fax: 256-543-8185
Heather Walker Howell, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1956 Rainbow Dr, Gadsden, AL 35901 Phone: 256-438-5839
Mrs. Connie Payongayong Morales, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 427 S 3rd St, Gadsden, AL 35901 Phone: 256-543-3508

Mr Spencer Riley Wallace, CRNP - Medicare Nurse Practitioner in Gadsden, AL