Rafaella Izar Wallace, ANP in Fort Worth, TX - Medicare Nurse Practitioner

Rafaella Izar Wallace, ANP is a medicare enrolled "Nurse Practitioner - Gerontology" in Fort Worth, Texas. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Texas Oncology Pa and her current practice location is 500 S Henderson St Ste 200, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 413-1500.

Rafaella Izar Wallace is licensed to practice in Texas (license number AP129253) 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 1821469107.

Contact Information

	Rafaella Izar Wallace, ANP
	500 S Henderson St Ste 200, Fort Worth, TX 76104-2154
	(817) 413-1500
	(817) 413-1499

Map and Direction

Provider's Profile

Full Name	Rafaella Izar Wallace
Gender	Female
Speciality	Nurse Practitioner
Experience	9 Years
Location	500 S Henderson St Ste 200, Fort Worth, Texas
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:

Rafaella Izar Wallace graduated from nursing school in 2015

NPI Data:

NPI Number: 1821469107
Provider Enumeration Date: 10/13/2015
Last Update Date: 12/01/2021

Medicare PECOS Information:

PECOS PAC ID: 4082919238
Enrollment ID: I20160225000996

Medical Identifiers

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

Identifier	Type	State	Issuer
1821469107	NPI	-	NPPES
365509402	Medicaid	TX
8449NZ	Other	TX	BLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	AP129253 (Texas)	Primary
363LA2200X	Nurse Practitioner - Adult Health	AP129253 (Texas)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Texas Oncology Pa	5395658934	886

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. Rafaella Izar Wallace allows following entities to bill medicare on her behalf.

Entity Name	Texas Oncology Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811944101 PECOS PAC ID: 5395658934 Enrollment ID: O20031124000323

Entity Name	Texas Digestive Disease Consultants Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053397331 PECOS PAC ID: 3375531379 Enrollment ID: O20040505001844

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. Rafaella Izar 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
Rafaella Izar Wallace, ANP Po Box 911230, Dallas, TX 75391-1230 Ph: (972) 997-8000	Rafaella Izar Wallace, ANP 500 S Henderson St Ste 200, Fort Worth, TX 76104-2154 Ph: (817) 413-1500

Reviews and Comments

Nurse Practitioner Nurses in Fort Worth, TX

Mrs. Amy Michelle Medalie, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4405 River Oaks Blvd, Fort Worth, TX 76114 Phone: 817-624-1770 Fax: 817-625-1287
Valerie Elise Ward, RN, CPNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2755 Miller Ave, Fort Worth, TX 76105 Phone: 817-534-7110 Fax: 817-413-0521
Maria Sybil Gagliano, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6000 Bryant Irvin Rd, Fort Worth, TX 76132 Phone: 866-389-2727
Kristi E Tucker, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 801 7th Ave, Fort Worth, TX 76104 Phone: 682-885-1475 Fax: 682-885-7520
Lacy Pitchford, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1263 W Rosedale St Ste 200, Fort Worth, TX 76104 Phone: 817-336-4896 Fax: 817-332-2805
Mary Agnes Johnson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1400 8th Ave, Fort Worth, TX 76104 Phone: 817-922-7070
Susan Akberzie, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1401 W Pulaski St, Fort Worth, TX 76104 Phone: 682-885-8012 Fax: 682-885-8014

Rafaella Izar Wallace, ANP - Medicare Nurse Practitioner in Fort Worth, TX