Hayley Ann Wallace, DNP, PMHNP-BC in Michigan City, IN

Hayley Ann Wallace, DNP, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Michigan City, Indiana. Her current practice location is 7224 W 400 N, Michigan City, Indiana. You can reach out to her office (for appointments etc.) via phone at (219) 879-4621.

Hayley Ann Wallace is licensed to practice in Indiana (license number 71016313A) 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 1700691581.

Contact Information

	Hayley Ann Wallace, DNP, PMHNP-BC
	7224 W 400 N, Michigan City, IN 46360-2903
	(219) 879-4621
	Not Available

Map and Direction

Provider's Profile

Full Name	Hayley Ann Wallace
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	7224 W 400 N, Michigan City, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700691581
Provider Enumeration Date: 02/10/2025
Last Update Date: 02/10/2025

Medicare PECOS Information:

PECOS PAC ID: 2860913480
Enrollment ID: I20250311002379

Medical Identifiers

Medical identifiers for Hayley Ann Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700691581	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	71016313A (Indiana)	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. Hayley Ann Wallace allows following entities to bill medicare on her behalf.

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

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. Hayley Ann 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
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

Reviews and Comments

Nurse Practitioner Nurses in Michigan City, IN

Carol Lynn Parks, Nurse Practitioner Medicare: Accepting Medicare Assignments 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: Medicare Enrolled 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: Accepting Medicare Assignments 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

Hayley Ann Wallace, DNP, PMHNP-BC - Medicare Nurse Practitioner in Michigan City, IN