Laurie A Wallace, APRN - Medicare Nurse Practitioner in Lakeside Park, KY

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Laurie A Wallace, APRN is a medicare enrolled "Nurse Practitioner - Family" in Lakeside Park, Kentucky. Her current practice location is 2156 Chamber Center Dr, Lakeside Park, Kentucky. You can reach out to her office (for appointments etc.) via phone at (859) 341-6255.

Laurie A Wallace is licensed to practice in Kentucky (license number 3008278) 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 1033542170.

Contact Information

Laurie A Wallace, APRN
2156 Chamber Center Dr,
Lakeside Park, KY 41017-1669
(859) 341-6255
(859) 547-1197

Map and Direction




Provider's Profile

Full NameLaurie A Wallace
GenderFemale
SpecialityNurse Practitioner - Family
Location2156 Chamber Center Dr, Lakeside Park, Kentucky
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033542170
  • Provider Enumeration Date: 08/13/2013
  • Last Update Date: 12/23/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 5092943472
  • Enrollment ID: I20140109001034

Medical Identifiers

Medical identifiers for Laurie A Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033542170NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 3008278 (Kentucky)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. Laurie A Wallace allows following entities to bill medicare on her behalf.
Entity NameChrist Hospital Medical Associates, Ii Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982906103
PECOS PAC ID: 7012197619
Enrollment ID: O20110215000419

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. Laurie A 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 AddressPractice Location Address
Laurie A Wallace, APRN
2156 Chamber Center Dr,
Lakeside Park, KY 41017-1669

Ph: (859) 341-6255		Laurie A Wallace, APRN
2156 Chamber Center Dr,
Lakeside Park, KY 41017-1669

Ph: (859) 341-6255

Reviews and Comments


Nurse Practitioner Nurses in Lakeside Park, KY

Mrs. Jessica Ryan Hall, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2300 Chamber Center Dr, Lakeside Park, KY 41017
Phone: 859-655-7040    Fax: 859-331-2021
Jessica R Vaniglia, CNM
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2156 Chamber Center Dr, Lakeside Park, KY 41017
Phone: 859-282-6700    Fax: 859-282-6760
Jacqueline Leight Reichert Grimes,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 334 Farmington Dr, Lakeside Park, KY 41017
Phone: 859-446-6263    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.