Deanthia Ricara-gigi Wallace, APRN - Medicare Nurse Practitioner in Cantonment, FL

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Deanthia Ricara-gigi Wallace, APRN is a medicare enrolled "Nurse Practitioner - Family" in Cantonment, Florida. Her current practice location is 3673 Conley Dr, Cantonment, Florida. You can reach out to her office (for appointments etc.) via phone at (850) 529-7078.

Deanthia Ricara-gigi Wallace is licensed to practice in Florida (license number 11024974) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1629764907.

Contact Information

Deanthia Ricara-gigi Wallace, APRN
3673 Conley Dr,
Cantonment, FL 32533-8433
(850) 529-7078
Not Available

Map and Direction




Provider's Profile

Full NameDeanthia Ricara-gigi Wallace
GenderFemale
SpecialityNurse Practitioner - Family
Location3673 Conley Dr, Cantonment, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1629764907
  • Provider Enumeration Date: 04/11/2023
  • Last Update Date: 04/11/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3779944095
  • Enrollment ID: I20230803000781

Medical Identifiers

Medical identifiers for Deanthia Ricara-gigi Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629764907NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 11024974 (Florida)Primary

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. Deanthia Ricara-gigi Wallace allows following entities to bill medicare on her behalf.
Entity NameSacred Heart Health System Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962453308
PECOS PAC ID: 3779491386
Enrollment ID: O20051015000049

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. Deanthia Ricara-gigi 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
Deanthia Ricara-gigi Wallace, APRN
3673 Conley Dr,
Cantonment, FL 32533-8433

Ph: (850) 529-7078		Deanthia Ricara-gigi Wallace, APRN
3673 Conley Dr,
Cantonment, FL 32533-8433

Ph: (850) 529-7078

Reviews and Comments


Nurse Practitioner Nurses in Cantonment, FL

Julie A Richards, A.R.N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 185 Crossville St, Cantonment, FL 32533
Phone: 850-478-5440    Fax: 850-478-5447
Mrs. Stella G Terenteva, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2400 S. Hwy 29, Cantonment, FL 32533
Phone: 850-476-0559    Fax: 850-476-0599
Derrick Devonne Seals, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1872 Wareham Way, Cantonment, FL 32533
Phone: 850-206-5159    
Megan Renee Gardner, ARNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1935 Stallion Rd, Cantonment, FL 32533
Phone: 850-293-5662    
Laura Ann Reyes,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2090 S Highway 29, Cantonment, FL 32533
Phone: 866-389-2727    
Michael Sean Day, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1644 Hollow Point Dr, Cantonment, FL 32533
Phone: 850-777-8427    
Mrs. Brooke Ashley Watson, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2090 S Highway 29, Cantonment, FL 32533
Phone: 850-937-0122    

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.