Dr Nicole Marie Wallis, MD - Medicare Emergency Medicine in Wabasha, MN

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Dr Nicole Marie Wallis, MD is a medicare enrolled "Emergency Medicine" physician in Wabasha, Minnesota. She graduated from medical school in 2004 and has 21 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Cleveland Clinic, Saint Elizabeths Hospital Of Wabasha Inc and her current practice location is 1200 Grant Blvd W, Wabasha, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 565-4531.

Dr Nicole Marie Wallis is licensed to practice in Minnesota (license number 70944) 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 1346443728.

Contact Information

Dr Nicole Marie Wallis, MD
1200 Grant Blvd W,
Wabasha, MN 55981-1042
(651) 565-4531
Not Available

Map and Direction




Physician's Profile

Full NameDr Nicole Marie Wallis
GenderFemale
SpecialityEmergency Medicine
Experience21 Years
Location1200 Grant Blvd W, Wabasha, Minnesota
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:
  • Dr Nicole Marie Wallis graduated from medical school in 2004
  NPI Data:
  • NPI Number: 1346443728
  • Provider Enumeration Date: 06/06/2007
  • Last Update Date: 07/12/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1951401801
  • Enrollment ID: I20070709000067

Medical Identifiers

Medical identifiers for Dr Nicole Marie Wallis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346443728NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 70944 (Minnesota)Primary
207P00000XEmergency Medicine 35089618 (Ohio)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Elizabeth Medical CenterWabasha, MNHospital
Cleveland ClinicCleveland, OHHospital
Fairview HospitalCleveland, OHHospital
Hillcrest HospitalMayfield heights, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cleveland Clinic18502035556184
Saint Elizabeths Hospital Of Wabasha Inc509261938782

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. Dr Nicole Marie Wallis allows following entities to bill medicare on her behalf.
Entity NameThe Cleveland Clinic Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679525919
PECOS PAC ID: 1850203555
Enrollment ID: O20031103000049
Entity NameThe Metrohealth System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053353896
PECOS PAC ID: 8628982949
Enrollment ID: O20031119000355
Entity NameCleveland Clinic Health Services Professional Association, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770082471
PECOS PAC ID: 3577813005
Enrollment ID: O20221201002216

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. Dr Nicole Marie 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 AddressPractice Location Address
Dr Nicole Marie Wallis, MD
1836 South Ave,
La Crosse, WI 54601-5429

Ph: (608) 782-7300		Dr Nicole Marie Wallis, MD
1200 Grant Blvd W,
Wabasha, MN 55981-1042

Ph: (651) 565-4531

Reviews and Comments


Emergency Medicine Doctors in Wabasha, MN

Dr. Paul C Nystrom, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1200 Grant Blvd W, Wabasha, MN 55981
Phone: 651-565-4531    
Mark Sandefur,
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1200 Grant Blvd W, Wabasha, MN 55981
Phone: 608-782-7300    

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.