Mrs Karla Marie Wallace, FNP-C in Monticello, MS

Mrs Karla Marie Wallace, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Monticello, Mississippi. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Premier Np Inc and her current practice location is 314 Main St Ste B, Monticello, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 587-4304.

Mrs Karla Marie Wallace is licensed to practice in Mississippi (license number 902985) 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 1740757145.

Contact Information

	Mrs Karla Marie Wallace, FNP-C
	314 Main St Ste B, Monticello, MS 39654-3702
	(601) 587-4304
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Karla Marie Wallace
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	314 Main St Ste B, Monticello, Mississippi
Accepts Medicare Assignments	Yes. 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 Karla Marie Wallace graduated from nursing school in 2018

NPI Data:

NPI Number: 1740757145
Provider Enumeration Date: 10/24/2018
Last Update Date: 04/28/2019

Medicare PECOS Information:

PECOS PAC ID: 8426390493
Enrollment ID: I20190424000530

Medical Identifiers

Medical identifiers for Mrs Karla Marie Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740757145	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	902985 (Mississippi)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Premier Np Inc	9638421910	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. Mrs Karla Marie Wallace allows following entities to bill medicare on her behalf.

Entity Name	Caring Hands Children's Clinic, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578993267 PECOS PAC ID: 5890055917 Enrollment ID: O20180212000703

Entity Name	Premier Np Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063904977 PECOS PAC ID: 9638421910 Enrollment ID: O20190206001880

Entity Name	Caring Hands Family Practice Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861959256 PECOS PAC ID: 8123360013 Enrollment ID: O20190424002193

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 Karla Marie 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
Mrs Karla Marie Wallace, FNP-C 314 Main St Ste B, Monticello, MS 39654-3702 Ph: (601) 587-4304	Mrs Karla Marie Wallace, FNP-C 314 Main St Ste B, Monticello, MS 39654-3702 Ph: (601) 587-4304

Reviews and Comments

Nurse Practitioner Nurses in Monticello, MS

Mrs. Rebecca Hussey Burris, C.F.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 827 F. E. Sellers Highway, Monticello, MS 39654 Phone: 601-587-4648 Fax: 601-587-0613
Becky Jan Mercier, RN, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1065 E Broad St, Monticello, MS 39654 Phone: 601-587-4051 Fax: 601-587-1256
Molly Grubbs Mayhugh, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 314 Main St Ste D, Monticello, MS 39654 Phone: 601-587-4304 Fax: 601-587-4515
Genie B Vaughan, RN, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1065 E Broad St, Monticello, MS 39654 Phone: 601-587-4051 Fax: 601-587-1256
Rhonda Joyce Thomas, FNP-C, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1065 E Broad St, Monticello, MS 39654 Phone: 601-587-4051 Fax: 601-587-1256
Tonjia S Lang, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4739 Highway 587, Monticello, MS 39654 Phone: 601-695-3745
Teresa Conerly, NPC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 430 W Broad St, Monticello, MS 39654 Phone: 601-825-7280 Fax: 601-825-8130

Mrs Karla Marie Wallace, FNP-C - Medicare Nurse Practitioner in Monticello, MS