Heather E Wallace, in Macon, GA - Medicare Nurse Practitioner

Heather E Wallace, is a medicare enrolled "Nurse Practitioner - Gerontology" in Macon, Georgia. Her current practice location is 535 Coliseum Dr, Macon, Georgia. You can reach out to her office (for appointments etc.) via phone at (478) 972-0277.

Heather E Wallace is licensed to practice in Georgia (license number RN197918) 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 1053856427.

Contact Information

	Heather E Wallace,
	535 Coliseum Dr, Macon, GA 31217-0104
	(478) 972-0277
	Not Available

Map and Direction

Provider's Profile

Full Name	Heather E Wallace
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	535 Coliseum Dr, Macon, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053856427
Provider Enumeration Date: 12/21/2016
Last Update Date: 12/27/2016

Medicare PECOS Information:

PECOS PAC ID: 7113464462
Enrollment ID: I20240805000224

Medical Identifiers

Medical identifiers for Heather E Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053856427	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	RN197918 (Georgia)	Primary
363L00000X	Nurse Practitioner	RN197918 (Georgia)	Secondary

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. Heather E Wallace allows following entities to bill medicare on her behalf.

Entity Name	Oconee Healthcare Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306904081 PECOS PAC ID: 9234392853 Enrollment ID: O20120518000201

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. Heather E 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
Heather E Wallace, Po Box 26698, Macon, GA 31221-6698 Ph: (478) 972-0277	Heather E Wallace, 535 Coliseum Dr, Macon, GA 31217-0104 Ph: (478) 972-0277

Reviews and Comments

Nurse Practitioner Nurses in Macon, GA

Michelle Renee Brown, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 655 1st St, Macon, GA 31201 Phone: 478-301-5930 Fax: 478-301-5932
Mrs. Jamie Lynn Harrelson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4061 Vineville Ave, Macon, GA 31210 Phone: 478-757-7345
Skylar Nelson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 330 Hospital Dr Ste 200, Macon, GA 31217 Phone: 478-745-1191
Linda Denice Farrow, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 105 Heath Pl Rd, Macon, GA 31220 Phone: 478-765-2010
Jo Beth Roberts, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 777 Hemlock St, Macon, GA 31201 Phone: 478-633-6706 Fax: 478-633-5384
Jennifer Johnson Slade, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3888 Northside Dr, Macon, GA 31210 Phone: 478-477-4044 Fax: 478-477-7076
Mrs. Lynn Davis Waits, MSN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 College Station Dr, Macon, GA 31206 Phone: 478-471-2092

Heather E Wallace, - Medicare Nurse Practitioner in Macon, GA