| Hayley Ann Wallace, DNP, PMHNP-BC | |
|
7224 W 400 N, Michigan City, IN 46360-2903 | |
| (219) 879-4621 | |
| Not Available |
| Full Name | Hayley Ann Wallace |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 1 Years |
| Location | 7224 W 400 N, Michigan City, Indiana |
| 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 |
|---|---|---|---|
| 1700691581 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 71016313A (Indiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Laporte County Comprehensive Mental Health Council | 3274703046 | 16 |
| Entity Name | Laporte County Comprehensive Mental Health Council |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295746816 PECOS PAC ID: 3274703046 Enrollment ID: O20110906000052 |
| Mailing Address | Practice Location Address |
|---|---|
| Hayley Ann Wallace, DNP, PMHNP-BC 7224 W 400 N, Michigan City, IN 46360-2903 Ph: (219) 879-4621 | Hayley Ann Wallace, DNP, PMHNP-BC 7224 W 400 N, Michigan City, IN 46360-2903 Ph: (219) 879-4621 |
Carol Lynn Parks, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1225 E Coolspring Ave, 2-e, Michigan City, IN 46360 Phone: 219-879-6531 | |
Jason C Little, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3500 Franciscan Way, Michigan City, IN 46360 Phone: 219-852-1524 Fax: 219-933-2288 | |
Donald Ernest Greer Jr., Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3500 Franciscan Way, Michigan City, IN 46360 Phone: 219-879-8511 | |
Kaci Bauske, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8733 W 400 N, Michigan City, IN 46360 Phone: 219-831-8740 Fax: 219-877-1029 | |
Nichole M Shultz, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4111 Franklin St, Michigan City, IN 46360 Phone: 121-987-3291 Fax: 219-873-2909 | |
Todd Noel Wolford, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10176 W 400 N Ste B, Michigan City, IN 46360 Phone: 219-809-9839 Fax: 219-809-9841 | |
Kristen R Novak, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8865 W 400 N Ste 155, Michigan City, IN 46360 Phone: 219-872-6566 |