Colleen Wallace, - Medicare Nurse Practitioner in Umatilla, FL

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Colleen Wallace, is a medicare enrolled "Family Medicine - Adult Medicine" physician in Umatilla, Florida. She graduated from medical school in 2020 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is 287 S Central Ave, Umatilla, Florida. You can reach out to her office (for appointments etc.) via phone at (352) 747-0747.

Colleen Wallace is licensed to practice in Florida (license number 11011114) 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 1992394423.

Contact Information

Colleen Wallace,
287 S Central Ave,
Umatilla, FL 32784-8411
(352) 747-0747
Not Available

Map and Direction




Physician's Profile

Full NameColleen Wallace
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location287 S Central Ave, Umatilla, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Colleen Wallace graduated from medical school in 2020
  NPI Data:
  • NPI Number: 1992394423
  • Provider Enumeration Date: 01/11/2021
  • Last Update Date: 01/21/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0749695286
  • Enrollment ID: I20210216001905

Medical Identifiers

Medical identifiers for Colleen Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992394423NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QA0505XFamily Medicine - Adult Medicine 11011114 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Pinnacle Home Care Of The Villages IncFruitland park, FLHome health agency
Adventhealth WatermanTavares, FLHospital

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. Colleen Wallace allows following entities to bill medicare on her behalf.
Entity NameWallace Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598356289
PECOS PAC ID: 9830504372
Enrollment ID: O20210216001830

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. Colleen 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
Colleen Wallace,
Po Box 2485,
Umatilla, FL 32784-2485

Ph: (352) 551-9404		Colleen Wallace,
287 S Central Ave,
Umatilla, FL 32784-8411

Ph: (352) 747-0747

Reviews and Comments


Family Medicine Doctors in Umatilla, FL

Mrs. Vickie Sue Chapman, ARNP
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 249 E Collins St, Umatilla, FL 32784
Phone: 352-589-6424    Fax: 352-589-6496
Jose H Perez Suarez, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 249 E Collins St, Umatilla, FL 32784
Phone: 352-483-7984    Fax: 352-589-6496
Gail J Dudley, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 287 S Central Ave, Umatilla, FL 32784
Phone: 352-669-3161    

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.