Mrs Melissa B Wallace, WHNP in Saint Louis, MO

Mrs Melissa B Wallace, WHNP is a medicare enrolled "Nurse Practitioner" in Saint Louis, Missouri. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice West County Women's Healthcare, Llc and her current practice location is 4901 Forest Park Ave Ste 710, Ste 710, Saint Louis, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 362-4211.

Mrs Melissa B Wallace is licensed to practice in Missouri (license number 151045) 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 1497027247.

Contact Information

	Mrs Melissa B Wallace, WHNP
	4901 Forest Park Ave Ste 710, Ste 710, Saint Louis, MO 63108-1402
	(314) 362-4211
	(314) 362-0049

Map and Direction

Provider's Profile

Full Name	Mrs Melissa B Wallace
Gender	Female
Speciality	Nurse Practitioner
Experience	13 Years
Location	4901 Forest Park Ave Ste 710, Saint Louis, Missouri
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 Melissa B Wallace graduated from nursing school in 2011

NPI Data:

NPI Number: 1497027247
Provider Enumeration Date: 02/08/2012
Last Update Date: 01/29/2018

Medicare PECOS Information:

PECOS PAC ID: 0648597765
Enrollment ID: I20150327002448

Medical Identifiers

Medical identifiers for Mrs Melissa B Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497027247	NPI	-	NPPES
ENROLLED	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	151045 (Missouri)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Lukes Hospital	Chesterfield, MO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
West County Women's Healthcare, Llc	2961534417	8

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 Melissa B Wallace allows following entities to bill medicare on her behalf.

Entity Name	Washington University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760422265 PECOS PAC ID: 9830008770 Enrollment ID: O20040812001332

Entity Name	West County Women's Healthcare, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447570395 PECOS PAC ID: 2961534417 Enrollment ID: O20100719000438

Entity Name	St Louis Women's Healthcare Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699807719 PECOS PAC ID: 6709900202 Enrollment ID: O20100907000457

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 Melissa B 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 Melissa B Wallace, WHNP 660 S Euclid Ave, C B 8064, Saint Louis, MO 63110-1010 Ph: (314) 747-0800	Mrs Melissa B Wallace, WHNP 4901 Forest Park Ave Ste 710, Ste 710, Saint Louis, MO 63108-1402 Ph: (314) 362-4211

Reviews and Comments

Nurse Practitioner Nurses in Saint Louis, MO

Stephanie Lynn Shorey, WHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 621 S New Ballas Rd, Suite 2007b, Saint Louis, MO 63141 Phone: 314-991-5000
Mr. Gary John Gardner, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4251 Forest Park Ave, Saint Louis, MO 63108 Phone: 618-363-9545
Ms. Kim M French, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4921 Parkview Pl, Div Im Hematology, Ste 7b, Saint Louis, MO 63110 Phone: 314-362-7216 Fax: 314-362-8813
Barbara Ann Giese, RN, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 456 N New Ballas Rd, Suite 304, Saint Louis, MO 63141 Phone: 314-567-6868 Fax: 314-567-0578
Mrs. Anna Ouida Barton, WHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9450 Manchester Rd Ste 206, Saint Louis, MO 63119 Phone: 314-725-9300
Mrs. Emily Carol Kemp, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Parkview Pl, Div Im Medical Oncology, Saint Louis, MO 63110 Phone: 800-647-2098 Fax: 314-362-3192
Mrs. Michelle Marie Bloom, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Dept Anesthesiology, Saint Louis, MO 63110 Phone: 800-862-9980 Fax: 314-362-1185

Mrs Melissa B Wallace, WHNP - Medicare Nurse Practitioner in Saint Louis, MO