Laury M Wallace, NP - Medicare Family Medicine in Westfield, IN

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Laury M Wallace, NP is a medicare enrolled "Family Medicine - Adult Medicine" physician in Westfield, Indiana. Her current practice location is 16731 Gaither Blvd, Westfield, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 561-6840.

Laury M Wallace is licensed to practice in Indiana (license number 71007724A) 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 1205343845.

Contact Information

Laury M Wallace, NP
16731 Gaither Blvd,
Westfield, IN 46074-4607
(317) 561-6840
(812) 239-3771

Map and Direction




Physician's Profile

Full NameLaury M Wallace
GenderFemale
SpecialityFamily Medicine - Adult Medicine
Location16731 Gaither Blvd, Westfield, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1205343845
  • Provider Enumeration Date: 01/04/2018
  • Last Update Date: 01/04/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 1658641857
  • Enrollment ID: I20211216001734

Medical Identifiers

Medical identifiers for Laury M Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205343845NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QA0000XFamily Medicine - Adolescent Medicine 71007724A (Indiana)Secondary
207QG0300XFamily Medicine - Geriatric Medicine 71007724A (Indiana)Secondary
207QH0002XFamily Medicine - Hospice And Palliative Medicine 71007724A (Indiana)Secondary
207QA0505XFamily Medicine - Adult Medicine 71007724A (Indiana)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. Laury M Wallace allows following entities to bill medicare on her behalf.
Entity NameLifes Journey Palliative Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497417828
PECOS PAC ID: 9638560139
Enrollment ID: O20211216001652

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. Laury M 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
Laury M Wallace, NP
16731 Gaither Blvd,
Westfield, IN 46074-4421

Ph: (812) 239-3771		Laury M Wallace, NP
16731 Gaither Blvd,
Westfield, IN 46074-4607

Ph: (317) 561-6840

Reviews and Comments


Family Medicine Doctors in Westfield, IN

Dr. August James Emford, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 705 E Main St, Westfield, IN 46074
Phone: 463-234-6400    
Alison Aguilar, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 17600 Shamrock Blvd, Westfield, IN 46074
Phone: 317-867-5263    Fax: 317-867-2031
Mr. Todd W Arnold, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 16198 Morning Dr, Westfield, IN 46074
Phone: 317-441-2829    Fax: 317-732-7878
Jeffrey D Klak, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 510 E State Road 32, Suite A, Westfield, IN 46074
Phone: 317-867-5263    Fax: 317-867-2031
Danica M Vasilchek, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 19800 East St Ste 120, Westfield, IN 46074
Phone: 463-622-9200    Fax: 463-622-9201
Steven James Burch, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 19800 East St Ste 120, Westfield, IN 46074
Phone: 463-622-9200    Fax: 463-622-9201

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.