Mr William S Wallace, FNP in Memphis, TN - Medicare Nurse Practitioner

Mr William S Wallace, FNP is a medicare enrolled "Nurse Practitioner - Family" in Memphis, Tennessee. He graduated from nursing school in 2002 and has 22 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Physiotherapy Associates Inc and his current practice location is 1200 Peabody Ave, Memphis, Tennessee. You can reach out to his office (for appointments etc.) via phone at (901) 272-0003.

Mr William S Wallace is licensed to practice in Tennessee (license number RN108204) 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 1457334633.

Contact Information

	Mr William S Wallace, FNP
	1200 Peabody Ave, Memphis, TN 38104-4506
	(901) 272-0003
	(901) 272-7179

Map and Direction

Provider's Profile

Full Name	Mr William S Wallace
Gender	Male
Speciality	Nurse Practitioner
Experience	22 Years
Location	1200 Peabody Ave, Memphis, Tennessee
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 William S Wallace graduated from nursing school in 2002

NPI Data:

NPI Number: 1457334633
Provider Enumeration Date: 11/22/2005
Last Update Date: 03/05/2010

Medicare PECOS Information:

PECOS PAC ID: 0749183234
Enrollment ID: I20040130001056

Medical Identifiers

Medical identifiers for Mr William S Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457334633	NPI	-	NPPES
3388963	Medicaid	TN
4070262	Other	TN	BLUE CROSS
000000028284	Other	TN	TENNCARE TLC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	108204 (Tennessee)	Secondary
363LF0000X	Nurse Practitioner - Family	RN108204 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Methodist Healthcare Memphis Hospitals	Memphis, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Physiotherapy Associates Inc	3577470442	503

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 William S Wallace allows following entities to bill medicare on his behalf.

Entity Name	Church Health Center Of Memphis Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427030907 PECOS PAC ID: 7517863392 Enrollment ID: O20100825000655

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 William S 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 William S Wallace, FNP Po Box 41527, Memphis, TN 38174-1527 Ph: (901) 272-0003	Mr William S Wallace, FNP 1200 Peabody Ave, Memphis, TN 38104-4506 Ph: (901) 272-0003

Reviews and Comments

Nurse Practitioner Nurses in Memphis, TN

Michelle L Rush, MSN, APRN, BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 880 Madison Ave, Memphis, TN 38103 Phone: 901-545-6969 Fax: 901-545-1711
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Barbara A Overbey, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 825 Ridge Lake Blvd, Memphis, TN 38120 Phone: 901-685-2200 Fax: 901-259-2715
Florida Allen, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3362 S 3rd St, Memphis, TN 38109 Phone: 901-701-2510 Fax: 901-260-8598
Mrs. Sarah Michelle Wredling, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4066 Summer Ave, Memphis, TN 38122 Phone: 901-452-7391
Teri Williams, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3530 Hickory Hill Rd, Memphis, TN 38115 Phone: 901-881-6686

Mr William S Wallace, FNP - Medicare Nurse Practitioner in Memphis, TN