Ms Nathasa Wallace, FNP - Medicare Nurse Practitioner in Harvey, IL

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Ms Nathasa Wallace, FNP is a medicare enrolled "Nurse Practitioner - Family" in Harvey, Illinois. Her current practice location is 31 W 155th St, Harvey, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 596-5177.

Ms Nathasa Wallace is licensed to practice in Illinois (license number 209.012383) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1326420530.

Contact Information

Ms Nathasa Wallace, FNP
31 W 155th St,
Harvey, IL 60426-3556
(708) 596-5177
(708) 596-5518

Map and Direction




Provider's Profile

Full NameMs Nathasa Wallace
GenderFemale
SpecialityNurse Practitioner - Family
Location31 W 155th St, Harvey, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1326420530
  • Provider Enumeration Date: 06/24/2015
  • Last Update Date: 07/18/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3072825199
  • Enrollment ID: I20150702000944

Medical Identifiers

Medical identifiers for Ms Nathasa Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326420530NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 209.012383 (Illinois)Primary

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 Nathasa Wallace allows following entities to bill medicare on her behalf.
Entity NameFamily Christian Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093855736
PECOS PAC ID: 6507758612
Enrollment ID: O20040325000572
Entity NameIn Home Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497087175
PECOS PAC ID: 3779612395
Enrollment ID: O20100520000116

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 Nathasa 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 AddressPractice Location Address
Ms Nathasa Wallace, FNP
31 W 155th St,
Harvey, IL 60426-3556

Ph: (708) 596-5177		Ms Nathasa Wallace, FNP
31 W 155th St,
Harvey, IL 60426-3556

Ph: (708) 596-5177

Reviews and Comments


Nurse Practitioner Nurses in Harvey, IL

Miss Maira Ochoa, APN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 31 W 155th St, Harvey, IL 60426
Phone: 708-596-5177    Fax: 708-596-5518
Yvette M. Johnson, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 31 W. 155th Street, Harvey, IL 60426
Phone: 708-596-5177    Fax: 708-339-3583
Dr. Stephanie Liggons, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 31 W 155th St, Harvey, IL 60426
Phone: 708-596-5177    Fax: 708-596-5518
Dominique K Craver, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1 Ingalls Dr, Harvey, IL 60426
Phone: 708-332-2300    
Reda Kubilius, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1 Ingalls Dr, Harvey, IL 60426
Phone: 708-915-9250    
Emily Tyl,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1 Ingalls Dr, Harvey, IL 60426
Phone: 855-826-3878    
Donna J. Calvin, ARNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 31 W 155th St, Harvey, IL 60426
Phone: 708-596-5177    Fax: 708-596-5518

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.