Angela M Wallace, LPN - Licensed Practical Nurse in Greeneville, TN

Angela M Wallace, LPN is a Licensed Practical Nurse based in Greeneville, Tennessee. Angela M Wallace is licensed to practice in Tennessee (license number 61990) and her current practice location is 401 Holston Dr, Greeneville, Tennessee. She can be reached at her office (for appointments etc.) via phone at (423) 639-1104.

NPI number for Angela M Wallace is 1306431101 and her current mailing address is 1167 Spratlin Park Dr, Gray, Tennessee. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1306431101.

Contact Information

Angela M Wallace, LPN
401 Holston Dr,
Greeneville, TN 37743-3127
(423) 639-1104
(423) 467-3644

Map and Direction




Provider's Profile

Full NameAngela M Wallace
GenderFemale
SpecialityLicensed Practical Nurse
Location401 Holston Dr, Greeneville, Tennessee
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1306431101
  • Provider Enumeration Date: 03/03/2021
  • Last Update Date: 03/03/2021

Medical Identifiers

Medical identifiers for Angela M Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306431101NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse 61990 (Tennessee)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. Angela M 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 AddressPractice Location Address
Angela M Wallace, LPN
1167 Spratlin Park Dr,
Gray, TN 37615-6205

Ph: (423) 467-3600
Angela M Wallace, LPN
401 Holston Dr,
Greeneville, TN 37743-3127

Ph: (423) 639-1104

Reviews and Comments


Licensed Practical Nurse Nurses in Greeneville, TN

Cara Beth Henry, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 810 W Church St # Sr, Greeneville, TN 37745
Phone: 423-798-1749    Fax: 423-798-1754
Ms. Catherine Anne Horton, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 401 Holston Dr, Greeneville, TN 37743
Phone: 423-639-1104    Fax: 423-467-3644
Sarah Gordon, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 810 W Church St, Greeneville, TN 37745
Phone: 423-798-1749    
Ms. Jeannie Loraine Southerland, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 4850 E Andrew Johnson Hwy, Greeneville, TN 37745
Phone: 423-787-6641    
Nancy Ann Key, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 616 E Church St, Suite A, Greeneville, TN 37745
Phone: 423-639-3213    Fax: 423-639-4692
Mr. Ronnie Cutshall, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 405 Walters Rd, Greeneville, TN 37743
Phone: 423-948-7305    

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.