Donnetta Lynn Wallace, in Monticello, MN - Medicare Nurse Practitioner

Donnetta Lynn Wallace, is a medicare enrolled "Nurse Practitioner - Family" in Monticello, Minnesota. She graduated from nursing school in 2013 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Stellis Health, Pa and her current practice location is 1001 Hart Blvd Ste 100, Monticello, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 295-2921.

Donnetta Lynn Wallace is licensed to practice in Minnesota (license number R 151800-9) 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 1922436914.

Contact Information

	Donnetta Lynn Wallace,
	1001 Hart Blvd Ste 100, Monticello, MN 55362-8929
	(763) 295-2921
	(763) 581-9090

Map and Direction

Provider's Profile

Full Name	Donnetta Lynn Wallace
Gender	Female
Speciality	Nurse Practitioner
Experience	12 Years
Location	1001 Hart Blvd Ste 100, Monticello, Minnesota
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:

Donnetta Lynn Wallace graduated from nursing school in 2013

NPI Data:

NPI Number: 1922436914
Provider Enumeration Date: 10/29/2013
Last Update Date: 11/30/2023

Medicare PECOS Information:

PECOS PAC ID: 5799912895
Enrollment ID: I20131217001429

Medical Identifiers

Medical identifiers for Donnetta Lynn Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922436914	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R 151800-9 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Centracare Health - Monticello	Monticello, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Stellis Health, Pa	1153233796	54

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. Donnetta Lynn Wallace allows following entities to bill medicare on her behalf.

Entity Name	Stellis Health Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184664674 PECOS PAC ID: 1153233796 Enrollment ID: O20031103000458

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. Donnetta Lynn 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
Donnetta Lynn Wallace, 1700 Highway 25 N, Buffalo, MN 55313-1930 Ph: (763) 682-1313	Donnetta Lynn Wallace, 1001 Hart Blvd Ste 100, Monticello, MN 55362-8929 Ph: (763) 295-2921

Reviews and Comments

Nurse Practitioner Nurses in Monticello, MN

Dr. Evan Lucas Dyce, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1107 Hart Blvd, Monticello, MN 55362 Phone: 763-271-2200 Fax: 763-271-1799
Cassandra Marie Hirman, APRN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1001 Hart Blvd Ste 100, Monticello, MN 55362 Phone: 763-295-2921
Victoria Sybilla Hadley, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 305 Cedar St Ste 103, Monticello, MN 55362 Phone: 763-200-1160 Fax: 763-645-5458
Kasy Lynn Omann, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1001 Hart Blvd Ste 100, Monticello, MN 55362 Phone: 763-295-2921
Kelsey J King, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1107 Hart Blvd, Monticello, MN 55362 Phone: 763-271-2200
Mrs. Kristy Peterfeso, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1107 Hart Blvd, Monticello, MN 55362 Phone: 763-271-2200
Christopher Douglas Elness, APRN CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1001 Hart Blvd Ste 100, Monticello, MN 55362 Phone: 763-295-2921 Fax: 763-271-3807

Donnetta Lynn Wallace, - Medicare Nurse Practitioner in Monticello, MN