Racquel Wallace, ARNP in Port Saint Lucie, FL

Racquel Wallace, ARNP is a medicare enrolled "Nurse Practitioner" in Port Saint Lucie, Florida. Her current practice location is 493 Sw Talquin Ln, Port Saint Lucie, Florida. You can reach out to her office (for appointments etc.) via phone at (772) 924-8322.

Racquel Wallace is licensed to practice in Florida (license number ARNP9358634) 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 1366977944.

Contact Information

	Racquel Wallace, ARNP
	493 Sw Talquin Ln, Port Saint Lucie, FL 34986-2063
	(772) 924-8322
	Not Available

Map and Direction

Provider's Profile

Full Name	Racquel Wallace
Gender	Female
Speciality	Nurse Practitioner
Location	493 Sw Talquin Ln, Port Saint Lucie, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366977944
Provider Enumeration Date: 04/20/2017
Last Update Date: 04/20/2017

Medicare PECOS Information:

PECOS PAC ID: 3870867815
Enrollment ID: I20170914002776

Medical Identifiers

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

Identifier	Type	State	Issuer
1366977944	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	ARNP9358634 (Florida)	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. Racquel Wallace allows following entities to bill medicare on her behalf.

Entity Name	New Horizons Of The Treasure Coast Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154439958 PECOS PAC ID: 1153313218 Enrollment ID: O20040401000809

Entity Name	Access Health Physician Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265830368 PECOS PAC ID: 4082929443 Enrollment ID: O20150813010401

Entity Name	Elite Clinical Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154895878 PECOS PAC ID: 8729329495 Enrollment ID: O20190405000634

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. Racquel 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
Racquel Wallace, ARNP 493 Sw Talquin Ln, Port Saint Lucie, FL 34986-2063 Ph: (772) 924-8322	Racquel Wallace, ARNP 493 Sw Talquin Ln, Port Saint Lucie, FL 34986-2063 Ph: (772) 924-8322

Reviews and Comments

Nurse Practitioner Nurses in Port Saint Lucie, FL

Shannon Louise Schaal, APRN PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3974 Sw Wycoff St, Port Saint Lucie, FL 34953 Phone: 772-201-4188
Yolette Jean-louis Martelly, AGPCNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7009 Maidstone Dr, Port Saint Lucie, FL 34986 Phone: 561-633-1829
Claudia Patricia Santamaria, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8483 S Us Highway 1 Ste 19, Port Saint Lucie, FL 34952 Phone: 772-873-1770 Fax: 772-873-1781
Angela Michelle Davis, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1589 Se Belcrest St, Port Saint Lucie, FL 34952 Phone: 772-370-1655
Christie Faye Rodriguez, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2465 Sw Carpenter Street, Port Saint Lucie, FL 34984 Phone: 772-812-6838
Mrs. Jackeline Conde, APRN-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 808 Sw Glenview Ct, Suites 812 And 814, Port Saint Lucie, FL 34953 Phone: 772-240-7822
Dan Asher Miller, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2038 Se North Blackwell Dr, Port Saint Lucie, FL 34952 Phone: 772-408-3055

Racquel Wallace, ARNP - Medicare Nurse Practitioner in Port Saint Lucie, FL