| Brandy S Wallace, | |
|
6823 Saint Charles Ave Bldg 92, New Orleans, LA 70118-5665 | |
| (504) 865-5255 | |
| Not Available |
| Full Name | Brandy S Wallace |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 13 Years |
| Location | 6823 Saint Charles Ave Bldg 92, New Orleans, Louisiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770113441 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 903712 (Mississippi) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 215880 (Louisiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rh Hospitalist Medicine Of Marion General Llc | 2567815384 | 6 |
| Entity Name | Wayne General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093930638 PECOS PAC ID: 2668457581 Enrollment ID: O20040623000865 |
| Entity Name | Petal Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982908877 PECOS PAC ID: 9133303811 Enrollment ID: O20110404000578 |
| Entity Name | Hattiesburg Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164805156 PECOS PAC ID: 4981913308 Enrollment ID: O20151024000062 |
| Entity Name | Fast Pace Mississippi Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447769559 PECOS PAC ID: 3678832029 Enrollment ID: O20180111000291 |
| Entity Name | Maxem Health Urgent Care Diberville |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265991608 PECOS PAC ID: 1759624968 Enrollment ID: O20190622000032 |
| Entity Name | Relias Emergency Medicine Specialists Of Hattiesburg Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609409440 PECOS PAC ID: 9032549142 Enrollment ID: O20200413002970 |
| Entity Name | Relias Clinical Decision Specialists Of Hattiesburg Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336867415 PECOS PAC ID: 3173998358 Enrollment ID: O20230403000431 |
| Entity Name | Rh Hospitalist Medicine Of Marion General Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801660170 PECOS PAC ID: 2567815384 Enrollment ID: O20240129002254 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandy S Wallace, 41 County Road 127, Quitman, MS 39355-9668 Ph: (601) 616-1864 | Brandy S Wallace, 6823 Saint Charles Ave Bldg 92, New Orleans, LA 70118-5665 Ph: (504) 865-5255 |
Dr. John P Beavers, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1401 Jefferson Hwy, New Orleans, LA 70121 Phone: 504-842-4747 | |
Tammy Ann Francipane, RNC CNNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1514 Jefferson Hwy, New Orleans, LA 70121 Phone: 504-842-4000 | |
Elaine Alleman, NP, RN, MSN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 335 Audubon Blvd, New Orleans, LA 70125 Phone: 985-264-8037 Fax: 504-865-0371 | |
Adrienne A. Truxillo, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1514 Jefferson Hwy, New Orleans, LA 70121 Phone: 504-842-3900 | |
Dr. Demetrius James Porche, RN, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1900 Gravier St, New Orleans, LA 70112 Phone: 504-568-4106 | |
Emily P Landry, APRN, NNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2700 Napoleon Ave, New Orleans, LA 70115 Phone: 504-894-2050 | |
Ms. Leontine Maxine Trought, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2700 S Broad St, New Orleans, LA 70125 Phone: 504-383-8559 Fax: 504-371-5162 |