Deanna Wallace, NP is a medicare enrolled "Nurse Practitioner - Family" physician in Urbana, Illinois. Her current practice location is
611 W Park, Fapc, Urbana, Illinois. You can reach out to her office (for appointments etc.) via phone at
(217) 902-6954.
Deanna Wallace is licensed to practice in Illinois (license number 209014278) 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 1609222579.
Physician's Profile
| Full Name | Deanna Wallace |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 611 W Park, Urbana, Illinois |
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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. |
Medical Education and Training:
- Deanna Wallace attended and graduated from in
NPI Data:
- NPI Number: 1609222579
- Provider Enumeration Date: 05/10/2016
- Last Update Date: 12/31/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Deanna Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1609222579 | NPI | - | NPPES |
| $$$$$$$$$ | Medicaid | IL | |
| P01657319 | Other | IL | RAILROAD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 209.014278 (Illinois) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 209014278 (Illinois) | Primary |
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. Deanna 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 |
Deanna Wallace, NP 611 W Park, Fapc, Urbana, IL 61802 Ph: (217) 902-6954 | Deanna Wallace, NP 611 W Park, Fapc, Urbana, IL 61802 Ph: (217) 902-6954 |
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