Maggie Mae Wallace, in Gulf Shores, AL - Medicare Nurse Practitioner

Maggie Mae Wallace, is a medicare enrolled "Nurse Practitioner - Family" in Gulf Shores, Alabama. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Foley Clinic Corp. and her current practice location is 200 Office Park Dr, Gulf Shores, Alabama. You can reach out to her office (for appointments etc.) via phone at (251) 968-7379.

Maggie Mae Wallace is licensed to practice in Alabama (license number 1-182953) 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 1366098642.

Contact Information

	Maggie Mae Wallace,
	200 Office Park Dr, Gulf Shores, AL 36542-3432
	(251) 968-7379
	(251) 968-5960

Map and Direction

Provider's Profile

Full Name	Maggie Mae Wallace
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	200 Office Park Dr, Gulf Shores, Alabama
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:

Maggie Mae Wallace graduated from nursing school in 2019

NPI Data:

NPI Number: 1366098642
Provider Enumeration Date: 08/13/2019
Last Update Date: 11/13/2023

Medicare PECOS Information:

PECOS PAC ID: 9133458664
Enrollment ID: I20210514000719

Medical Identifiers

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

Identifier	Type	State	Issuer
1366098642	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	8373 (Connecticut)	Secondary
363LF0000X	Nurse Practitioner - Family	1-182953 (Alabama)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
South Baldwin Regional Medical Center	Foley, AL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Foley Clinic Corp.	5193741759	84

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. Maggie Mae Wallace allows following entities to bill medicare on her behalf.

Entity Name	Foley Clinic Corp.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629027826 PECOS PAC ID: 5193741759 Enrollment ID: O20051021000930

Entity Name	Fairhope Family Medicine, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821151093 PECOS PAC ID: 1052311230 Enrollment ID: O20070111000599

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. Maggie Mae 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
Maggie Mae Wallace, 200 Office Park Dr, Gulf Shores, AL 36542-3432 Ph: (512) 968-7379	Maggie Mae Wallace, 200 Office Park Dr, Gulf Shores, AL 36542-3432 Ph: (251) 968-7379

Reviews and Comments

Nurse Practitioner Nurses in Gulf Shores, AL

Clarissa Jordan Annan, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 156 E 15th Ave, Gulf Shores, AL 36542 Phone: 251-948-4290 Fax: 251-948-7682
Erin Dewrell Prendergast, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1700 W 2nd St, Gulf Shores, AL 36542 Phone: 251-967-4000 Fax: 251-967-2398
Mr. Jerry Wayne Barton Jr., NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 E 15th Ave, Gulf Shores, AL 36542 Phone: 251-962-1250 Fax: 251-967-7832
Lisa Ellen Field, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Office Park Dr, Gulf Shores, AL 36542 Phone: 251-968-7379 Fax: 251-968-5960
Anthony Houston Key, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 E 15th Ave, Gulf Shores, AL 36542 Phone: 251-962-1250 Fax: 251-967-7832
Rebecca Lee Branum Autrey, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 232 Office Park Dr, Gulf Shores, AL 36542 Phone: 251-968-2323 Fax: 251-968-2134

Maggie Mae Wallace, - Medicare Nurse Practitioner in Gulf Shores, AL