Amanda Gail Wallace, - Medicare Nurse Practitioner in West Union, OH

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Amanda Gail Wallace, is a medicare enrolled "Nurse Practitioner - Family" in West Union, Ohio. Her current practice location is 247 Cic Blvd, West Union, Ohio. You can reach out to her office (for appointments etc.) via phone at (513) 941-4999.

Amanda Gail Wallace is licensed to practice in Ohio (license number APRN.CNP.021126) 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 1154844041.

Contact Information

Amanda Gail Wallace,
247 Cic Blvd,
West Union, OH 45693-7512
(513) 941-4999
(513) 694-0168

Map and Direction




Provider's Profile

Full NameAmanda Gail Wallace
GenderFemale
SpecialityNurse Practitioner - Family
Location247 Cic Blvd, West Union, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1154844041
  • Provider Enumeration Date: 07/21/2017
  • Last Update Date: 05/05/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2264706878
  • Enrollment ID: I20170920003460

Medical Identifiers

Medical identifiers for Amanda Gail Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154844041NPI-NPPES
0241010MedicaidOH
7100477320MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 3011658 (Kentucky)Secondary
363LF0000XNurse Practitioner - Family APRN.CNP.021126 (Ohio)Primary
163W00000XRegistered Nurse RN.300987 (Ohio)Secondary
163W00000XRegistered Nurse 1155351 (Kentucky)Secondary

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. Amanda Gail Wallace allows following entities to bill medicare on her behalf.
Entity NameGeorge Carl Borst Iii Psc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013956051
PECOS PAC ID: 0446245807
Enrollment ID: O20040416000331
Entity NameLewis County Primary Care Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457303802
PECOS PAC ID: 1153311774
Enrollment ID: O20040515000278

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. Amanda Gail 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
Amanda Gail Wallace,
6460 Harrison Ave Ste 200,
Cincinnati, OH 45247-7958

Ph: (513) 941-4999		Amanda Gail Wallace,
247 Cic Blvd,
West Union, OH 45693-7512

Ph: (513) 941-4999

Reviews and Comments


Nurse Practitioner Nurses in West Union, OH

Cadee Schumacher, PNP-AC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 90 Cic Blvd, West Union, OH 45693
Phone: 934-544-0981    Fax: 937-544-5884
Ms. Debora Kay Katz,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 192 Chestnut Ridge Rd, West Union, OH 45693
Phone: 740-354-7702    Fax: 740-353-1662
Ms. Becky Lynne Basford, CNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 210 N Wilson Dr, Adams County Hospital, West Union, OH 45693
Phone: 937-544-1531    Fax: 937-544-1120
Sarica Lillie, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 90 Cic Blvd, West Union, OH 45693
Phone: 937-544-8989    Fax: 937-544-5659
Heather Dawn Winder, C-NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 11100 State Route 41, West Union, OH 45693
Phone: 937-550-3657    
Kayla Ross, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 90 Cic Boulevard, West Union, OH 45693
Phone: 937-544-8989    

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.