Amanda Wallace, APRN - Medicare Obstetrics & Gynecology in Appleton, WI

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Amanda Wallace, APRN is a medicare enrolled "Obstetrics & Gynecology" physician in Appleton, Wisconsin. Her current practice location is 1531 S Madison St Fl 3, Appleton, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 749-4000.

Amanda Wallace is licensed to practice in Wisconsin (license number APRN11024430) 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 1992408587.

Contact Information

Amanda Wallace, APRN
1531 S Madison St Fl 3,
Appleton, WI 54915-1800
(920) 749-4000
Not Available

Map and Direction




Physician's Profile

Full NameAmanda Wallace
GenderFemale
SpecialityObstetrics & Gynecology
Location1531 S Madison St Fl 3, Appleton, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1992408587
  • Provider Enumeration Date: 03/23/2023
  • Last Update Date: 10/08/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 1153786421
  • Enrollment ID: I20230420003066

Medical Identifiers

Medical identifiers for Amanda Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992408587NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology APRN11024430 (Wisconsin)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. Amanda Wallace allows following entities to bill medicare on her behalf.
Entity NameSacred Heart Health System Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144271586
PECOS PAC ID: 3779491386
Enrollment ID: O20031125000699

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 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 Wallace, APRN
1531 S Madison St Fl 3,
Appleton, WI 54915-1800

Ph: (920) 749-4000		Amanda Wallace, APRN
1531 S Madison St Fl 3,
Appleton, WI 54915-1800

Ph: (920) 749-4000

Reviews and Comments


Obstetrics & Gynecology Doctors in Appleton, WI

Christopher W Wagener, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1531 S Madison St, Appleton, WI 54915
Phone: 920-730-4413    
Mark W Faustich, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 1531 S Madison St, Appleton, WI 54915
Phone: 920-730-4413    
Suzanne Swanson, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: W5282 Amy Ave, Appleton, WI 54915
Phone: 920-358-1900    Fax: 920-358-1909
C Danae Steele,
Obstetrics & Gynecology
Medicare: May Accept Medicare Assignments
Practice Location: 1818 N Meade St, Appleton, WI 54911
Phone: 920-749-4000    Fax: 920-882-6372
Deeann D B Reece, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 1501 S Madison St, Appleton, WI 54915
Phone: 920-730-4435    
Dr. Jeffery J Cherney, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 1818 N Meade St, Appleton, WI 54911
Phone: 920-749-4000    Fax: 920-749-4015
Amanda Anne Reed,
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 3232 N Ballard Rd Ste 100, Appleton, WI 54911
Phone: 920-729-7105    

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.