Terri Wallace, FNP - Medicare Nurse Practitioner in Memphis, TN

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Terri Wallace, FNP is a medicare enrolled "Nurse Practitioner" in Memphis, Tennessee. Her current practice location is 4707 Woodridge Dr, Memphis, Tennessee. You can reach out to her office (for appointments etc.) via phone at (901) 345-5411.

Terri Wallace is licensed to practice in Tennessee (license number 21186) 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 1356796262.

Contact Information

Terri Wallace, FNP
4707 Woodridge Dr,
Memphis, TN 38116-7811
(901) 345-5411
Not Available

Map and Direction




Provider's Profile

Full NameTerri Wallace
GenderFemale
SpecialityNurse Practitioner
Location4707 Woodridge Dr, Memphis, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1356796262
  • Provider Enumeration Date: 04/28/2016
  • Last Update Date: 02/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6204191372
  • Enrollment ID: I20201014000012

Medical Identifiers

Medical identifiers for Terri Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356796262NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 904130 (Mississippi)Secondary
363LF0000XNurse Practitioner - Family 21186 (Tennessee)Secondary
363L00000XNurse Practitioner 21186 (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. Terri Wallace allows following entities to bill medicare on her behalf.
Entity NameGreenwood Leflore Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699714717
PECOS PAC ID: 1153399472
Enrollment ID: O20040923000500
Entity NameStrive Health Southeast Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811506975
PECOS PAC ID: 4183035249
Enrollment ID: O20231113002634
Entity NameOlive Branch Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730969734
PECOS PAC ID: 9335598739
Enrollment ID: O20231211002611

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. Terri 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
Terri Wallace, FNP
1169 Jefferson Ave,
Memphis, TN 38104-7217

Ph: (901) 345-5411		Terri Wallace, FNP
4707 Woodridge Dr,
Memphis, TN 38116-7811

Ph: (901) 345-5411

Reviews and Comments


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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).

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