Penny Sue Wallman, is a medicare enrolled "Nurse Practitioner - Primary Care" in Bronson, Michigan. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Hillsdale Pulmonary Critical Care And Sleep Medicine Pc and her current practice location is
735 E Chicago St, Bronson, Michigan. You can reach out to her office (for appointments etc.) via phone at
(517) 858-1400.
Penny Sue Wallman is licensed to practice in Michigan (license number 4704167228) 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 1346698941.
Provider's Profile
| Full Name | Penny Sue Wallman |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 8 Years |
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| Location | 735 E Chicago St, Bronson, Michigan |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Penny Sue Wallman graduated from nursing school in 2016
NPI Data:
- NPI Number: 1346698941
- Provider Enumeration Date: 05/25/2016
- Last Update Date: 02/02/2024
Medicare PECOS Information:
- PECOS PAC ID: 3971861816
- Enrollment ID: I20171221002311
Medical Identifiers
Medical identifiers for Penny Sue Wallman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346698941 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 4704167228 (Michigan) | Secondary |
| 163W00000X | Registered Nurse | 28167664A (Indiana) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | 4704167228 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Hillsdale Pulmonary Critical Care And Sleep Medicine Pc | 1153402938 | 7 |
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. Penny Sue Wallman allows following entities to bill medicare on her behalf.
| Entity Name | Hillsdale Pulmonary Critical Care And Sleep Medicine Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1730361254
PECOS PAC ID: 1153402938
Enrollment ID: O20080117000728 |
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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. Penny Sue Wallman 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 |
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Penny Sue Wallman,
677 E Main St,
Centreville, MI 49032-8524
Ph: (269) 467-1000 | Penny Sue Wallman,
735 E Chicago St,
Bronson, MI 49028-1349
Ph: (517) 858-1400 |
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