Stephanie R Wallace, NP in Athens, GA - Medicare Nurse Practitioner

Stephanie R Wallace, NP is a medicare enrolled "Nurse Practitioner" in Athens, Georgia. She graduated from nursing school in 1997 and has 27 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice St. Mary's Medical Group, Inc. and her current practice location is 1230 Baxter St, Athens, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 389-2273.

Stephanie R Wallace is licensed to practice in Georgia (license number RN136273) 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 1124087879.

Contact Information

	Stephanie R Wallace, NP
	1230 Baxter St, Athens, GA 30606-3712
	(706) 389-2273
	(706) 389-2298

Map and Direction

Provider's Profile

Full Name	Stephanie R Wallace
Gender	Female
Speciality	Nurse Practitioner
Experience	27 Years
Location	1230 Baxter St, Athens, Georgia
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:

Stephanie R Wallace graduated from nursing school in 1997

NPI Data:

NPI Number: 1124087879
Provider Enumeration Date: 03/21/2006
Last Update Date: 01/15/2024

Medicare PECOS Information:

PECOS PAC ID: 3274565072
Enrollment ID: I20050831000942

Medical Identifiers

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

Identifier	Type	State	Issuer
1124087879	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	RN136273 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Mary's Hospital	Athens, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St. Mary's Medical Group, Inc.	7113098393	106

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. Stephanie R Wallace allows following entities to bill medicare on her behalf.

Entity Name	St. Mary's Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376711333 PECOS PAC ID: 7113098393 Enrollment ID: O20080616000388

Entity Name	Athens Regional Specialty Services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083939136 PECOS PAC ID: 8325162340 Enrollment ID: O20100827000645

Entity Name	Piedmont Athens Hospitalist Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578079000 PECOS PAC ID: 6305196411 Enrollment ID: O20180911003967

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. Stephanie R 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
Stephanie R Wallace, NP Po Box 48089, Athens, GA 30604-8089 Ph: (706) 389-3740	Stephanie R Wallace, NP 1230 Baxter St, Athens, GA 30606-3712 Ph: (706) 389-2273

Reviews and Comments

Nurse Practitioner Nurses in Athens, GA

Ms. Susan Gail Adams, APRN-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1905 Barnett Shoals Rd, Athens, GA 30605 Phone: 706-542-7053
Ireta Favors, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 250 Bray St, Athens, GA 30601 Phone: 678-215-4907 Fax: 678-671-8489
Melissa Bienacker Baughcum, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 340 N Milledge Ave Ste B, Athens, GA 30601 Phone: 706-548-0008 Fax: 706-369-9673
Amanda Gunter, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1175 Mitchell Bridge Rd, Athens, GA 30606 Phone: 706-534-4637
Lauren Gruendling, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 242 King Avenue, Suite 210, Athens, GA 30606 Phone: 706-475-1700
Cheryl Y Reed, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2142 W Broad St Bldg 100 Ste 200, Athens, GA 30606 Phone: 706-548-6881 Fax: 706-546-0821
Melisa Ann Suggs, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 240 North Ave, Athens, GA 30601 Phone: 706-613-6976

Stephanie R Wallace, NP - Medicare Nurse Practitioner in Athens, GA