Brandy S Wallace, - Medicare Nurse Practitioner in New Orleans, LA

Brandy S Wallace, is a medicare enrolled "Nurse Practitioner - Family" in New Orleans, Louisiana. She graduated from nursing school in 2013 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Rh Hospitalist Medicine Of Marion General Llc and her current practice location is 6823 Saint Charles Ave Bldg 92, New Orleans, Louisiana. You can reach out to her office (for appointments etc.) via phone at (504) 865-5255.

Brandy S Wallace is licensed to practice in Louisiana (license number 215880) 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 1770113441.

Contact Information

Brandy S Wallace,
6823 Saint Charles Ave Bldg 92,
New Orleans, LA 70118-5665
(504) 865-5255
Not Available

Map and Direction




Provider's Profile

Full NameBrandy S Wallace
GenderFemale
SpecialityNurse Practitioner
Experience13 Years
Location6823 Saint Charles Ave Bldg 92, New Orleans, Louisiana
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:
  • Brandy S Wallace graduated from nursing school in 2013
  NPI Data:
  • NPI Number: 1770113441
  • Provider Enumeration Date: 01/22/2020
  • Last Update Date: 10/12/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5597171488
  • Enrollment ID: I20210301000733

Medical Identifiers

Medical identifiers for Brandy S Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770113441NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 903712 (Mississippi)Secondary
363LF0000XNurse Practitioner - Family 215880 (Louisiana)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Rh Hospitalist Medicine Of Marion General Llc25678153846

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. Brandy S Wallace allows following entities to bill medicare on her behalf.
Entity NameWayne General Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093930638
PECOS PAC ID: 2668457581
Enrollment ID: O20040623000865
Entity NamePetal Urgent Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982908877
PECOS PAC ID: 9133303811
Enrollment ID: O20110404000578
Entity NameHattiesburg Urgent Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164805156
PECOS PAC ID: 4981913308
Enrollment ID: O20151024000062
Entity NameFast Pace Mississippi Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447769559
PECOS PAC ID: 3678832029
Enrollment ID: O20180111000291
Entity NameMaxem Health Urgent Care Diberville
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265991608
PECOS PAC ID: 1759624968
Enrollment ID: O20190622000032
Entity NameRelias Emergency Medicine Specialists Of Hattiesburg Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609409440
PECOS PAC ID: 9032549142
Enrollment ID: O20200413002970
Entity NameRelias Clinical Decision Specialists Of Hattiesburg Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336867415
PECOS PAC ID: 3173998358
Enrollment ID: O20230403000431
Entity NameRh Hospitalist Medicine Of Marion General Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801660170
PECOS PAC ID: 2567815384
Enrollment ID: O20240129002254

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. Brandy S Wallace 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
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

Reviews and Comments


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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.