Hailey Wallace, is a
Nurse Practitioner - Community Health physician based in Paducah, Kentucky. Hailey Wallace is licensed to practice in Kentucky (license number 4007951) and her current practice location is 916 Kentucky Ave, Paducah, Kentucky. She can be reached at her office (for appointments etc.) via phone at
(270) 444-9631.
NPI number for Hailey Wallace is 1669355566 and her current mailing address is 916 Kentucky Ave, Paducah, Kentucky. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1669355566.
Physician's Profile
Full Name | Hailey Wallace |
---|
Gender | Female |
---|
Speciality | Nurse Practitioner - Community Health |
---|
Location | 916 Kentucky Ave, Paducah, Kentucky |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1669355566
- Provider Enumeration Date: 07/28/2025
- Last Update Date: 07/28/2025
Medical Identifiers
Medical identifiers for Hailey Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669355566 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | 4007951 (Kentucky) | Secondary |
363LC1500X | Nurse Practitioner - Community Health | 4007951 (Kentucky) | 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. Hailey Wallace is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Hailey Wallace, 916 Kentucky Ave, Paducah, KY 42003-1977 Ph: (270) 444-9631 | Hailey Wallace, 916 Kentucky Ave, Paducah, KY 42003-1977 Ph: (270) 444-9631 |
Reviews and Comments