Peggy Lynn Wallace, ARNP in Tampa, FL - Medicare Nurse Practitioner

Peggy Lynn Wallace, ARNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Tampa, Florida. She graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice St. Joseph's Hospital, Inc. and her current practice location is 4600 N Habana Ave, Suite 15, Tampa, Florida. You can reach out to her office (for appointments etc.) via phone at (813) 870-4460.

Peggy Lynn Wallace is licensed to practice in Florida (license number 9274861) 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 1285930123.

Contact Information

	Peggy Lynn Wallace, ARNP
	4600 N Habana Ave, Suite 15, Tampa, FL 33614-7112
	(813) 870-4460
	Not Available

Map and Direction

Provider's Profile

Full Name	Peggy Lynn Wallace
Gender	Female
Speciality	Nurse Practitioner
Experience	14 Years
Location	4600 N Habana Ave, Tampa, Florida
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:

Peggy Lynn Wallace graduated from nursing school in 2010

NPI Data:

NPI Number: 1285930123
Provider Enumeration Date: 02/09/2011
Last Update Date: 05/20/2011

Medicare PECOS Information:

PECOS PAC ID: 1355529504
Enrollment ID: I20110617000280

Medical Identifiers

Medical identifiers for Peggy Lynn Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285930123	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	9274861 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Josephs Hospital	Tampa, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St. Joseph's Hospital, Inc.	1658274287	7

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. Peggy Lynn Wallace allows following entities to bill medicare on her behalf.

Entity Name	St. Joseph's Hospital, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710036868 PECOS PAC ID: 1658274287 Enrollment ID: O20040130000098

Entity Name	St. Joseph's Hospital, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992854038 PECOS PAC ID: 1658274287 Enrollment ID: O20051229000276

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. Peggy Lynn 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
Peggy Lynn Wallace, ARNP 110 W North St, Tampa, FL 33604-6015 Ph: (813) 857-2679	Peggy Lynn Wallace, ARNP 4600 N Habana Ave, Suite 15, Tampa, FL 33614-7112 Ph: (813) 870-4460

Reviews and Comments

Nurse Practitioner Nurses in Tampa, FL

Charmaine Henry, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15511 N Florida Ave Ste 401, Tampa, FL 33613 Phone: 813-963-3124 Fax: 813-908-7808
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Ms. Rhea Arlene Hurwitz, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3001 W Martin Luther King Boulevard, Tampa, FL 33607 Phone: 813-554-8511
Dr. Leigh Nicole Montejo, DNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9527 Delaney Creek Blvd, Tampa, FL 33619 Phone: 813-615-5230
Mrs. Dawn Elizabeth White, NP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2901 W Saint Isabel St, Suite A3, Tampa, FL 33607 Phone: 813-872-4401
Crystal Elaine Blair, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13000 Bruce B Downs Blvd, Tampa, FL 33612 Phone: 813-972-2000
Courtney Pariso, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3010 E 138th Ave, Suite 12, Tampa, FL 33613 Phone: 813-975-2800 Fax: 813-977-7631

Peggy Lynn Wallace, ARNP - Medicare Nurse Practitioner in Tampa, FL