Sean Wallis, NP in Boulder, CO - Medicare Nurse Practitioner

Sean Wallis, NP is a medicare enrolled "Nurse Practitioner" in Boulder, Colorado. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Boulder Community Health and his current practice location is 4747 Arapahoe Ave, Boulder, Colorado. You can reach out to his office (for appointments etc.) via phone at (303) 415-7000.

Sean Wallis is licensed to practice in Colorado (license number APN.0995133-NP) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1356980205.

Contact Information

	Sean Wallis, NP
	4747 Arapahoe Ave, Boulder, CO 80303-1131
	(303) 415-7000
	Not Available

Map and Direction

Provider's Profile

Full Name	Sean Wallis
Gender	Male
Speciality	Nurse Practitioner
Experience	5 Years
Location	4747 Arapahoe Ave, Boulder, Colorado
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Sean Wallis graduated from nursing school in 2019

NPI Data:

NPI Number: 1356980205
Provider Enumeration Date: 12/24/2019
Last Update Date: 12/19/2023

Medicare PECOS Information:

PECOS PAC ID: 7719312438
Enrollment ID: I20200127000564

Medical Identifiers

Medical identifiers for Sean Wallis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356980205	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	APN.0995133-NP (Colorado)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Boulder Community Health	Boulder, CO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Boulder Community Health	6800707233	212

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. Sean Wallis allows following entities to bill medicare on his behalf.

Entity Name	Boulder Community Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821074196 PECOS PAC ID: 6800707233 Enrollment ID: O20040123000284

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. Sean Wallis 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
Sean Wallis, NP 8769 W Cornell Ave Apt 3, Lakewood, CO 80227-4820 Ph: (720) 325-4228	Sean Wallis, NP 4747 Arapahoe Ave, Boulder, CO 80303-1131 Ph: (303) 415-7000

Reviews and Comments

Nurse Practitioner Nurses in Boulder, CO

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Linda Lea Johnson, WHNP, M.S.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2855 Valmont Rd, Boulder, CO 80301 Phone: 303-440-9320 Fax: 303-440-9320
Mrs. Barbara Jo Franklin, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 805 S Broadway St Ste 103, Boulder, CO 80305 Phone: 303-835-9523
Ian Villanueva, DNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1900 Wardenburg Drive, Boulder, CO 80309 Phone: 314-499-8625
Abbey Stone, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6666 Gunpark Dr, Boulder, CO 80301 Phone: 303-578-8085
Sally Thomas Lowell, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2525 13th St, Boulder, CO 80304 Phone: 303-449-6050
Kolby Sands, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2760 29th St Ste 2b, Boulder, CO 80301 Phone: 303-440-6400

Sean Wallis, NP - Medicare Nurse Practitioner in Boulder, CO