Walla Walla Wellness is a medicare enrolled "Nurse Practitioner - Family" provider in Walla Walla, Washington. Their current practice location is
694 W Rose St, Walla Walla, Washington. You can reach out to their office (for appointments etc.) via phone at
(509) 529-4676.
Walla Walla Wellness is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Walla Walla Wellness
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1891576724.
Healthcare Provider's Profile
| Full Name | Walla Walla Wellness |
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| Type | Facility |
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| Speciality | Nurse Practitioner - Family |
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| Location | 694 W Rose St, Walla Walla, Washington |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1891576724
- Provider Enumeration Date: 10/06/2023
- Last Update Date: 03/01/2024
Medicare PECOS Information:
- PECOS PAC ID: 4688113632
- Enrollment ID: O20240822001661
Medical Identifiers
Medical identifiers for Walla Walla Wellness such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1891576724 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225700000X | Massage Therapist | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Walla Walla Wellness acts as a billing entity for following providers:
| Provider Name | Trudy Marie Sharp |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1578839023 PECOS PAC ID: 1658520929 Enrollment ID: I20121001000448 |
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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. Walla Walla Wellness 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 |
Walla Walla Wellness 694 W Rose St, Walla Walla, WA 99362-2707 Ph: (509) 529-4676 | Walla Walla Wellness 694 W Rose St, Walla Walla, WA 99362-2707 Ph: (509) 529-4676 |
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