Madison Wallace, APN in Covington, TN - Medicare Nurse Practitioner

Madison Wallace, APN is a medicare enrolled "Nurse Practitioner - Family" in Covington, Tennessee. She graduated from nursing school in 2017 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Baptist Memorial Medical Group, Inc. and her current practice location is 1995 Highway 51 S Ste 204, Covington, Tennessee. You can reach out to her office (for appointments etc.) via phone at (901) 475-5305.

Madison Wallace is licensed to practice in Tennessee (license number 22760) 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 1740703180.

Contact Information

	Madison Wallace, APN
	1995 Highway 51 S Ste 204, Covington, TN 38019-3655
	(901) 475-5305
	(901) 475-5307

Map and Direction

Provider's Profile

Full Name	Madison Wallace
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	1995 Highway 51 S Ste 204, Covington, Tennessee
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:

Madison Wallace graduated from nursing school in 2017

NPI Data:

NPI Number: 1740703180
Provider Enumeration Date: 07/18/2017
Last Update Date: 04/17/2024

Medicare PECOS Information:

PECOS PAC ID: 7719214949
Enrollment ID: I20190812001875

Medical Identifiers

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

Identifier	Type	State	Issuer
1740703180	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	22760 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Baptist Memorial Hospital Tipton	Covington, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Baptist Memorial Medical Group, Inc.	5193610228	468

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. Madison Wallace allows following entities to bill medicare on her behalf.

Entity Name	Baptist Memorial Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306089206 PECOS PAC ID: 5193610228 Enrollment ID: O20040218000385

Entity Name	The Little Clinic Of Tennessee Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487848800 PECOS PAC ID: 4688762800 Enrollment ID: O20080326000339

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. Madison 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
Madison Wallace, APN 965 Ridge Lake Blvd Ste 315, Memphis, TN 38120-9401 Ph: (901) 227-7015	Madison Wallace, APN 1995 Highway 51 S Ste 204, Covington, TN 38019-3655 Ph: (901) 475-5305

Reviews and Comments

Nurse Practitioner Nurses in Covington, TN

Jeremy Ray Hubbard, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 728 W Sherrod Ave, Covington, TN 38019 Phone: 901-476-7779 Fax: 901-475-6008
Kayla Tiara Mcmorise, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1995 Highway 51 S, Covington, TN 38019 Phone: 901-476-2621
Sandra Dennis, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1999 Highway 51 S, Suite A, Covington, TN 38019 Phone: 901-476-9339
Ms. Anne Marie Griffin, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1997 Highway 51 South, Professional Care Services Of West Tennessee, Covington, TN 38019 Phone: 901-476-8967
Ms. Carroll Logan Vincent, APN ,PMHNP- BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1997 Highway 51 S, Professional Care Services Of West Tn, Inc., Covington, TN 38019 Phone: 901-476-8967 Fax: 901-313-1125
Mrs. Karen Louise Martin, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1995 Highway 51 S, Suite 101, Covington, TN 38019 Phone: 901-476-7371 Fax: 901-476-7372
Savanna Leigh Freeman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1618 Highway 51 S Ste G, Covington, TN 38019 Phone: 901-476-7777

Madison Wallace, APN - Medicare Nurse Practitioner in Covington, TN