Dionne H Wallace, CNP in Maumelle, AR - Medicare Nurse Practitioner

Dionne H Wallace, CNP is a medicare enrolled "Nurse Practitioner - Family" in Maumelle, Arkansas. She graduated from nursing school in 2017 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Urgent Team Of Arkansas Physicians Llc, St Vincent Medical Group and her current practice location is 1900 Club Manor Dr Ste 105, Maumelle, Arkansas. You can reach out to her office (for appointments etc.) via phone at (501) 851-8100.

Dionne H Wallace is licensed to practice in Arkansas (license number A005504) 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 1417456989.

Contact Information

	Dionne H Wallace, CNP
	1900 Club Manor Dr Ste 105, Maumelle, AR 72113-7443
	(501) 851-8100
	Not Available

Map and Direction

Provider's Profile

Full Name	Dionne H Wallace
Gender	Female
Speciality	Nurse Practitioner
Experience	9 Years
Location	1900 Club Manor Dr Ste 105, Maumelle, Arkansas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dionne H Wallace graduated from nursing school in 2017

NPI Data:

NPI Number: 1417456989
Provider Enumeration Date: 02/09/2018
Last Update Date: 03/04/2025

Medicare PECOS Information:

PECOS PAC ID: 2769743533
Enrollment ID: I20180220000293

Medical Identifiers

Medical identifiers for Dionne H Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417456989	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	A005504 (Arkansas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Urgent Team Of Arkansas Physicians Llc	1850539198	134
St Vincent Medical Group	5698758803	205

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. Dionne H Wallace allows following entities to bill medicare on her behalf.

Entity Name	St Vincent Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134176480 PECOS PAC ID: 5698758803 Enrollment ID: O20040622000224

Entity Name	Urgent Team Of Arkansas Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992041370 PECOS PAC ID: 1850539198 Enrollment ID: O20130529000209

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. Dionne H 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 Address	Practice Location Address
Dionne H Wallace, CNP 1900 Club Manor Dr Ste 105, Maumelle, AR 72113-7443 Ph: (501) 224-1690	Dionne H Wallace, CNP 1900 Club Manor Dr Ste 105, Maumelle, AR 72113-7443 Ph: (501) 851-8100

Reviews and Comments

Nurse Practitioner Nurses in Maumelle, AR

Mrs. Rachael Constance Curtis, APRN-CNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1701 Club Manor Dr Ste 2, Maumelle, AR 72113 Phone: 501-851-7400
Laura Farley, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1701 Club Manor Dr Ste 2, Maumelle, AR 72113 Phone: 501-851-7400 Fax: 501-851-4753
Mrs. Mary Ann Garnica, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22 Ouachita Dr, Maumelle, AR 72113 Phone: 918-978-9555
Lindsey Irene Bryant, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 701 Murphy Dr Ste 12, Maumelle, AR 72113 Phone: 501-454-4519 Fax: 501-500-5957
Laura Nicole Stallings, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2001 Club Manor Dr Ste S, Maumelle, AR 72113 Phone: 501-734-8085 Fax: 501-734-8088
Mrs. Danielle M Lindley, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1701 Club Manor Road, Ste 2b, Maumelle, AR 72113 Phone: 501-851-7402 Fax: 501-851-4753
Toronsa Mechel Simpson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19 Prince Dr, Maumelle, AR 72113 Phone: 501-319-4717

Dionne H Wallace, CNP - Medicare Nurse Practitioner in Maumelle, AR