Mrs Kandace Marie Wall, APRN - Medicare Nurse Practitioner in Lexington, KY

Mrs Kandace Marie Wall, APRN is a medicare enrolled "Nurse Practitioner - Family" in Lexington, Kentucky. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Fast Pace Kentucky Pllc and her current practice location is 1792 Alysheba Way, Suite 150, Lexington, Kentucky. You can reach out to her office (for appointments etc.) via phone at (859) 335-9041.

Mrs Kandace Marie Wall is licensed to practice in Kentucky (license number 3007996) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1144562620.

Contact Information

Mrs Kandace Marie Wall, APRN
1792 Alysheba Way, Suite 150,
Lexington, KY 40509-2288
(859) 335-9041
Not Available

Map and Direction




Provider's Profile

Full NameMrs Kandace Marie Wall
GenderFemale
SpecialityNurse Practitioner
Experience9 Years
Location1792 Alysheba Way, Lexington, Kentucky
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Kandace Marie Wall graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1144562620
  • Provider Enumeration Date: 03/21/2013
  • Last Update Date: 02/09/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 2163669102
  • Enrollment ID: I20130509000636

Medical Identifiers

Medical identifiers for Mrs Kandace Marie Wall such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144562620NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 3007996 (Kentucky)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fast Pace Kentucky Pllc014352599896

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. Mrs Kandace Marie Wall allows following entities to bill medicare on her behalf.
Entity Name24 On Physicians Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679522346
PECOS PAC ID: 5698688141
Enrollment ID: O20061012000513
Entity NameSoutheastern Physician Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083835441
PECOS PAC ID: 0042307852
Enrollment ID: O20090715000150
Entity NameFast Pace Kentucky Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457716706
PECOS PAC ID: 0143525998
Enrollment ID: O20160216002913

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. Mrs Kandace Marie Wall 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
Mrs Kandace Marie Wall, APRN
3851 Dylan Pl,
Lexington, KY 40514-1062

Ph: (606) 669-8601
Mrs Kandace Marie Wall, APRN
1792 Alysheba Way, Suite 150,
Lexington, KY 40509-2288

Ph: (859) 335-9041

Reviews and Comments


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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.