Mrs Vicki Jo Wallis, MD in Gadsden, AL

Mrs Vicki Jo Wallis, MD is a medicare enrolled "Pediatrics" physician in Gadsden, Alabama. Her current practice location is 829 Riverbend Dr, Gadsden, Alabama. You can reach out to her office (for appointments etc.) via phone at (256) 546-4611.

Mrs Vicki Jo Wallis is licensed to practice in Alabama (license number 22626) 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 1689623142.

Contact Information

	Mrs Vicki Jo Wallis, MD
	829 Riverbend Dr, Gadsden, AL 35901-2556
	(256) 546-4611
	(256) 546-2214

Map and Direction

Physician's Profile

Full Name	Mrs Vicki Jo Wallis
Gender	Female
Speciality	Pediatrics
Location	829 Riverbend Dr, Gadsden, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689623142
Provider Enumeration Date: 05/10/2006
Last Update Date: 06/05/2013

Medicare PECOS Information:

PECOS PAC ID: 9335483866
Enrollment ID: I20181210002394

Medical Identifiers

Medical identifiers for Mrs Vicki Jo Wallis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689623142	NPI	-	NPPES
114331	Medicaid	AL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	22626 (Alabama)	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. Mrs Vicki Jo Wallis allows following entities to bill medicare on her behalf.

Entity Name	Childrens Urgent Care, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124541438 PECOS PAC ID: 9234405408 Enrollment ID: O20171017000804

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. Mrs Vicki Jo Wallis 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
Mrs Vicki Jo Wallis, MD 829 Riverbend Dr, Gadsden, AL 35901-2556 Ph: (256) 546-4611	Mrs Vicki Jo Wallis, MD 829 Riverbend Dr, Gadsden, AL 35901-2556 Ph: (256) 546-4611

Reviews and Comments

Pediatrics Doctors in Gadsden, AL

Dr. Armando Jose Quizon, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 501 Bay St, Gadsden, AL 35901 Phone: 256-543-2894 Fax: 256-543-8185
Dr. Maurice Earnest Dennis Jr., M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 501 Bay St, Gadsden, AL 35901 Phone: 256-543-2894 Fax: 256-543-8185
Mrs. Deborah Smith, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1411 Piedmont Cutoff, Gadsden, AL 35903 Phone: 256-492-0131
Dr. Kenneth Everette Skelton, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 829 Riverbend Dr, Gadsden, AL 35901 Phone: 256-546-4611 Fax: 256-546-2214
Dr. Mary Nancy Mccorkle-mcgwier, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 501 Bay St, Gadsden, AL 35901 Phone: 256-543-2894 Fax: 256-543-8185
Daniel Craig Lockridge, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 501 Bay St, Gadsden, AL 35901 Phone: 256-543-2894 Fax: 256-543-8185
Matthew Brooke Lovato, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 829 Riverbend Dr, Gadsden, AL 35901 Phone: 256-546-4611

Mrs Vicki Jo Wallis, MD - Medicare Pediatrics in Gadsden, AL