Debra R Wallace, NP in Panorama City, CA - Medicare Nurse Practitioner

Debra R Wallace, NP is a medicare enrolled "Nurse Practitioner" in Panorama City, California. She graduated from nursing school in 1992 and has 32 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southern California Permanente Medical Group and her current practice location is 13652 Cantara St, Panorama City, California. You can reach out to her office (for appointments etc.) via phone at (818) 375-2000.

Debra R Wallace is licensed to practice in California (license number 006248) 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 1164570065.

Contact Information

	Debra R Wallace, NP
	13652 Cantara St, Panorama City, CA 91402-5423
	(818) 375-2000
	Not Available

Map and Direction

Provider's Profile

Full Name	Debra R Wallace
Gender	Female
Speciality	Nurse Practitioner
Experience	32 Years
Location	13652 Cantara St, Panorama City, California
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:

Debra R Wallace graduated from nursing school in 1992

NPI Data:

NPI Number: 1164570065
Provider Enumeration Date: 01/08/2007
Last Update Date: 11/30/2021

Medicare PECOS Information:

PECOS PAC ID: 1355534041
Enrollment ID: I20101026001365

Medical Identifiers

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

Identifier	Type	State	Issuer
1164570065	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	006248 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern California Permanente Medical Group	6002729175	7951

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

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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. Debra 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
Debra R Wallace, NP 13652 Cantara St, Panorama City, CA 91402-5423 Ph: (818) 375-2000	Debra R Wallace, NP 13652 Cantara St, Panorama City, CA 91402-5423 Ph: (818) 375-2000

Reviews and Comments

Nurse Practitioner Nurses in Panorama City, CA

Gloria S Tongson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000
Tina J Woolfork, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000
Mary Bernadette Acuna Coburn, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000
Hilda Berenice Jacobo, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8727 Van Nuys Blvd, Panorama City, CA 91402 Phone: 818-899-5555
Sharon M Poncher, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000
Velda C Mowry, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000
Kristine Satenik Shahinyan, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8012 Allott Ave, Panorama City, CA 91402 Phone: 323-422-8696

Debra R Wallace, NP - Medicare Nurse Practitioner in Panorama City, CA