Ms Amy Dianna Wallen, FNP in Bonne Terre, MO - Medicare Nurse Practitioner

Ms Amy Dianna Wallen, FNP is a medicare enrolled "Nurse Practitioner" in Bonne Terre, Missouri. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Missouri Medical Providers Llc and her current practice location is 10 Lake Dr, Bonne Terre, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 271-5317.

Ms Amy Dianna Wallen is licensed to practice in Missouri (license number 2015006782) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1831581222.

Contact Information

	Ms Amy Dianna Wallen, FNP
	10 Lake Dr, Bonne Terre, MO 63628-1820
	(573) 271-5317
	(573) 335-6724

Map and Direction

Provider's Profile

Full Name	Ms Amy Dianna Wallen
Gender	Female
Speciality	Nurse Practitioner
Experience	10 Years
Location	10 Lake Dr, Bonne Terre, Missouri
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Amy Dianna Wallen graduated from nursing school in 2014

NPI Data:

NPI Number: 1831581222
Provider Enumeration Date: 02/23/2015
Last Update Date: 04/08/2024

Medicare PECOS Information:

PECOS PAC ID: 9436307139
Enrollment ID: I20150520000874

Medical Identifiers

Medical identifiers for Ms Amy Dianna Wallen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831581222	NPI	-	NPPES
420021276	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	2015006782 (Missouri)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Washington County Memorial Hospital	Potosi, MO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Missouri Medical Providers Llc	2365855913	5

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. Ms Amy Dianna Wallen allows following entities to bill medicare on her behalf.

Entity Name	Missouri Medical Providers Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043817323 PECOS PAC ID: 2365855913 Enrollment ID: O20201229000683

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. Ms Amy Dianna Wallen 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
Ms Amy Dianna Wallen, FNP 2215 Broadway St, Cape Girardeau, MO 63701-4403 Ph: (573) 271-5317	Ms Amy Dianna Wallen, FNP 10 Lake Dr, Bonne Terre, MO 63628-1820 Ph: (573) 271-5317

Reviews and Comments

Nurse Practitioner Nurses in Bonne Terre, MO

Ms. Mary Suzanne Jones, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2727 Highway K, Bonne Terre, MO 63628 Phone: 573-358-5516
Rachel Ann Francis, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 55 Nesbit Dr, Bonne Terre, MO 63628 Phone: 573-358-1700 Fax: 573-358-1702
Hunter Elijah Wadlow, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7245 Raider Rd Ste C, Bonne Terre, MO 63628 Phone: 573-358-4600
Zacharias Alan Dane, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 55 Nesbit Dr, Bonne Terre, MO 63628 Phone: 573-358-1700 Fax: 573-358-1702
Ann Kirby, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11 S Division St Ste A, Bonne Terre, MO 63628 Phone: 573-723-1100 Fax: 573-723-1130
Cristen Mae Mckibben, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7245 Raider Rd Ste C, Bonne Terre, MO 63628 Phone: 573-438-6000
Glenda Charlene Counts, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11 S Division St Ste A, Bonne Terre, MO 63628 Phone: 573-723-1100 Fax: 573-723-1130

Ms Amy Dianna Wallen, FNP - Medicare Nurse Practitioner in Bonne Terre, MO