Lisa M Wallace, NP in Muncie, IN - Medicare Nurse Practitioner

Lisa M Wallace, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Muncie, Indiana. She graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Indiana University Health Ball Memorial Physicians Inc and her current practice location is 2525 W University Ave Ste 300, Muncie, Indiana. You can reach out to her office (for appointments etc.) via phone at (765) 289-5420.

Lisa M Wallace is licensed to practice in Indiana (license number 71003281A) 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 1134438286.

Contact Information

	Lisa M Wallace, NP
	2525 W University Ave Ste 300, Muncie, IN 47303-3432
	(765) 289-5420
	(765) 281-2065

Map and Direction

Provider's Profile

Full Name	Lisa M Wallace
Gender	Female
Speciality	Nurse Practitioner
Experience	16 Years
Location	2525 W University Ave Ste 300, Muncie, 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.

Medical Education and Training:

Lisa M Wallace graduated from nursing school in 2008

NPI Data:

NPI Number: 1134438286
Provider Enumeration Date: 10/06/2010
Last Update Date: 04/06/2023

Medicare PECOS Information:

PECOS PAC ID: 5395931026
Enrollment ID: I20101120000079

Medical Identifiers

Medical identifiers for Lisa M Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134438286	NPI	-	NPPES
201000070	Medicaid	IN
00000932255	Other	IN	ANTHEM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	71003281A (Indiana)	Primary
363L00000X	Nurse Practitioner	71003281A (Indiana)	Secondary
364SX0200X	Clinical Nurse Specialist - Oncology	71003281A (Indiana)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Indiana University Health Ball Memorial Hospital	Muncie, IN	Hospital
Marion General Hospital	Marion, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Indiana University Health Ball Memorial Physicians Inc	9537072640	297

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. Lisa M Wallace allows following entities to bill medicare on her behalf.

Entity Name	Indiana University Health Ball Memorial Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235455544 PECOS PAC ID: 9537072640 Enrollment ID: O20031110000505

Entity Name	Marion General Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528099041 PECOS PAC ID: 9133023625 Enrollment ID: O20040524001483

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. Lisa M 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
Lisa M Wallace, NP 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () -	Lisa M Wallace, NP 2525 W University Ave Ste 300, Muncie, IN 47303-3432 Ph: (765) 289-5420

Reviews and Comments

Nurse Practitioner Nurses in Muncie, IN

Julie Mongeri-mcpherson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 240 N Tillotson Ave, Muncie, IN 47304 Phone: 765-288-1928 Fax: 765-741-0359
Ms. Chasity R Evans, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2525 W University Ave, Suite 404, Muncie, IN 47303 Phone: 765-231-9494 Fax: 765-587-4456
Amy J Dockrey, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2525 W University Ave Ste 403, Muncie, IN 47303 Phone: 765-289-6381
Sheri Stohler Bennett, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3600 W Bethel Ave, Muncie, IN 47304 Phone: 765-284-7738 Fax: 765-213-3713
Stephanie Nicole Grimes, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3570 N Briarwood Ln, Muncie, IN 47304 Phone: 765-224-6513
Jacqualine Anthony, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2401 W University Ave, Muncie, IN 47303 Phone: 765-747-7111
Samuel W Mwangi, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 333 S Madison St, Muncie, IN 47305 Phone: 765-286-7000 Fax: 765-213-2769

Lisa M Wallace, NP - Medicare Nurse Practitioner in Muncie, IN