Ms Patricia J Wallace, ARNP-BC in Jacksonville, FL

Ms Patricia J Wallace, ARNP-BC is a medicare enrolled "Nurse Practitioner - Adult Health" in Jacksonville, Florida. Her current practice location is 9471 Baymeadows Rd, Ste 303, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 332-7431.

Ms Patricia J Wallace is licensed to practice in Florida (license number 637272) 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 1841353216.

Contact Information

	Ms Patricia J Wallace, ARNP-BC
	9471 Baymeadows Rd, Ste 303, Jacksonville, FL 32256-7936
	(904) 332-7431
	(904) 332-7408

Map and Direction

Provider's Profile

Full Name	Ms Patricia J Wallace
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	9471 Baymeadows Rd, Jacksonville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841353216
Provider Enumeration Date: 12/18/2006
Last Update Date: 10/25/2017

Medicare PECOS Information:

PECOS PAC ID: 5294859419
Enrollment ID: I20100825000265

Medical Identifiers

Medical identifiers for Ms Patricia J Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841353216	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	637272 (Florida)	Primary

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 Patricia J 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
Ms Patricia J Wallace, ARNP-BC 4217 Baymeadows Rd, Suite 3, Jacksonville, FL 32217-4676 Ph: (904) 332-7431	Ms Patricia J Wallace, ARNP-BC 9471 Baymeadows Rd, Ste 303, Jacksonville, FL 32256-7936 Ph: (904) 332-7431

Reviews and Comments

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Ms Patricia J Wallace, ARNP-BC - Medicare Nurse Practitioner in Jacksonville, FL