Laura Ann Wallace, APN in Pilot Knob, MO - Medicare Nurse Practitioner

Laura Ann Wallace, APN is a medicare enrolled "Nurse Practitioner - Primary Care" in Pilot Knob, Missouri. She graduated from nursing school in 2010 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Iron County Hospital District and her current practice location is 301 N Highway 21, Pilot Knob, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 546-8036.

Laura Ann Wallace is licensed to practice in Missouri (license number 2010037004) 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 1265737753.

Contact Information

	Laura Ann Wallace, APN
	301 N Highway 21, Pilot Knob, MO 63663-7862
	(573) 546-8036
	(573) 546-8067

Map and Direction

Provider's Profile

Full Name	Laura Ann Wallace
Gender	Female
Speciality	Nurse Practitioner
Experience	15 Years
Location	301 N Highway 21, Pilot Knob, Missouri
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:

Laura Ann Wallace graduated from nursing school in 2010

NPI Data:

NPI Number: 1265737753
Provider Enumeration Date: 01/14/2011
Last Update Date: 08/07/2025

Medicare PECOS Information:

PECOS PAC ID: 7416134036
Enrollment ID: I20110802000333

Medical Identifiers

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

Identifier	Type	State	Issuer
1265737753	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	2010037004 (Missouri)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Iron County Medical Center	Pilot knob, MO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Iron County Hospital District	0941207526	23

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. Laura Ann Wallace allows following entities to bill medicare on her behalf.

Entity Name	Crossroads Urgent Care Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366644361 PECOS PAC ID: 8325117484 Enrollment ID: O20080515000672

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. Laura 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
Laura Ann Wallace, APN 301 N Highway 21, Pilot Knob, MO 63663-7862 Ph: (573) 546-8036	Laura Ann Wallace, APN 301 N Highway 21, Pilot Knob, MO 63663-7862 Ph: (573) 546-8036

Reviews and Comments

Nurse Practitioner Nurses in Pilot Knob, MO

Judith Medley, MSN, RN, FNP, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 315 W Mulberry, Pilot Knob, MO 63663 Phone: 573-546-0602 Fax: 573-546-0624
Rosalie Grimes Benz, APRN-BC, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 St. Mary, Pilot Knob, MO 63663 Phone: 573-546-7000 Fax: 573-546-6420
Jessica Dawn Nichols, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 N Highway 21, Pilot Knob, MO 63663 Phone: 573-546-1260
Kylie Renee Strange, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 315 W. Mulberry, Suite A, Pilot Knob, MO 63663 Phone: 573-546-0602
Cindy Kaye Larkin, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 600 N. Main, Pilot Knob, MO 63663 Phone: 573-546-0184 Fax: 573-546-0187
Jennifer J Savage, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 N Main Street, Pilot Knob, MO 63663 Phone: 573-546-0184 Fax: 573-546-0187

Laura Ann Wallace, APN - Medicare Nurse Practitioner in Pilot Knob, MO