Teresa M Wallace, APN - Medicare Nurse Practitioner in Brighton, TN

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Teresa M Wallace, APN is a medicare enrolled "Nurse Practitioner - Family" in Brighton, Tennessee. Her current practice location is 1880 Old Highway 51 S Ste C, Brighton, Tennessee. You can reach out to her office (for appointments etc.) via phone at (901) 837-7979.

Teresa M Wallace is licensed to practice in Tennessee (license number 14863) 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 1225357635.

Contact Information

Teresa M Wallace, APN
1880 Old Highway 51 S Ste C,
Brighton, TN 38011-8025
(901) 837-7979
(901) 837-7999

Map and Direction




Provider's Profile

Full NameTeresa M Wallace
GenderFemale
SpecialityNurse Practitioner - Family
Location1880 Old Highway 51 S Ste C, Brighton, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1225357635
  • Provider Enumeration Date: 05/25/2010
  • Last Update Date: 03/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1052690021
  • Enrollment ID: I20161115000655

Medical Identifiers

Medical identifiers for Teresa M Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225357635NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 14863 (Tennessee)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. Teresa M Wallace allows following entities to bill medicare on her behalf.
Entity NamePrimary Care Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093016651
PECOS PAC ID: 0941480131
Enrollment ID: O20110204000483

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. Teresa M 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 AddressPractice Location Address
Teresa M Wallace, APN
Po Box 1000 Dept 978,
Memphis, TN 38148-0001

Ph: (901) 758-9900		Teresa M Wallace, APN
1880 Old Highway 51 S Ste C,
Brighton, TN 38011-8025

Ph: (901) 837-7979

Reviews and Comments


Nurse Practitioner Nurses in Brighton, TN

Mrs. Erica Gray, COO
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 8440 Highway 51 S Ste B, Brighton, TN 38011
Phone: 901-486-0777    Fax: 662-673-3452
Destiny Lashay Woodard, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 10070 Mcquiston Rd, Brighton, TN 38011
Phone: 870-225-9489    
Mrs. Pamela Garner, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 5847 Atoka Idaville Rd, Brighton, TN 38011
Phone: 901-837-0701    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.