Patricia G Wallace, CNS in Evansville, IN - Medicare Clinical Nurse Specialist

Patricia G Wallace, CNS is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health" in Evansville, Indiana. Her current practice location is 4847 E Virginia St Ste D, Evansville, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 479-1242.

Patricia G Wallace is licensed to practice in Indiana (license number 70000099B) 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 1356368849.

Contact Information

	Patricia G Wallace, CNS
	4847 E Virginia St Ste D, Evansville, IN 47715-2611
	(812) 479-1242
	(812) 479-1330

Map and Direction

Provider's Profile

Full Name	Patricia G Wallace
Gender	Female
Speciality	Clinical Nurse Specialist - Psychiatric/mental Health
Location	4847 E Virginia St Ste D, Evansville, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356368849
Provider Enumeration Date: 07/17/2006
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 4789673682
Enrollment ID: I20040506001583

Medical Identifiers

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

Identifier	Type	State	Issuer
1356368849	NPI	-	NPPES
000000492046	Other	IN	ANTHEM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
364SP0808X	Clinical Nurse Specialist - Psychiatric/mental Health	70000099B (Indiana)	Primary
364S00000X	Clinical Nurse Specialist	70000099A (Indiana)	Secondary

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. Patricia G Wallace allows following entities to bill medicare on her behalf.

Entity Name	Deaconess Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427097443 PECOS PAC ID: 9032021431 Enrollment ID: O20040115000129

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. Patricia G 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
Patricia G Wallace, CNS 4847 E Virginia St Ste D, Evansville, IN 47715-2611 Ph: (812) 479-1242	Patricia G Wallace, CNS 4847 E Virginia St Ste D, Evansville, IN 47715-2611 Ph: (812) 479-1242

Reviews and Comments

Clinical Nurse Specialist Nurses in Evansville, IN

Suzanne L Bailey, PMHCNS-BC Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 415 Mulberry Street, Evansville, IN 47713 Phone: 812-423-7791 Fax: 812-422-7558
Ms. Amanda J Miley, CNS Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 350 W Columbia St Ste 350, Evansville, IN 47710 Phone: 812-450-7700 Fax: 812-450-7705
Mrs. Paula Kay Key, CNS Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 520 Mary St, Suite 520, Evansville, IN 47710 Phone: 812-424-8231 Fax: 812-421-7032
Brandi Farrar, Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 714 S Eickhoff Rd, Evansville, IN 47712 Phone: 812-985-7898
Pamela S Pepper, CNS Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 7200 E Indiana St, Evansville, IN 47715 Phone: 812-476-7200 Fax: 812-471-4514
Desiree Johnson, RN Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 1105 N Boeke Rd, Evansville, IN 47711 Phone: 812-259-0901

Patricia G Wallace, CNS - Medicare Clinical Nurse Specialist in Evansville, IN