Michael Wallis, NP in Jennings, LA - Medicare Nurse Practitioner

Michael Wallis, NP is a medicare enrolled "Nurse Practitioner" in Jennings, Louisiana. He graduated from nursing school in 2005 and has 19 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Pcp Urgent Care Holdings Llc and his current practice location is 1634 Elton Rd, Jennings, Louisiana. You can reach out to his office (for appointments etc.) via phone at (800) 893-9698.

Michael Wallis is licensed to practice in Louisiana (license number RN112816) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1285050690.

Contact Information

	Michael Wallis, NP
	1634 Elton Rd, Jennings, LA 70546-3614
	(800) 893-9698
	Not Available

Map and Direction

Provider's Profile

Full Name	Michael Wallis
Gender	Male
Speciality	Nurse Practitioner
Experience	19 Years
Location	1634 Elton Rd, Jennings, Louisiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Michael Wallis graduated from nursing school in 2005

NPI Data:

NPI Number: 1285050690
Provider Enumeration Date: 03/10/2014
Last Update Date: 01/26/2020

Medicare PECOS Information:

PECOS PAC ID: 0345471751
Enrollment ID: I20140328000930

Medical Identifiers

Medical identifiers for Michael Wallis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285050690	NPI	-	NPPES
2356003	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	RN112816 (Louisiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Pcp Urgent Care Holdings Llc	5092016816	37

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. Michael Wallis allows following entities to bill medicare on his behalf.

Entity Name	Hospital Service District #1 Of East Baton Rouge Parish
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962437681 PECOS PAC ID: 0941191902 Enrollment ID: O20040322000429

Entity Name	Jefferson Davis Emergency Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043289572 PECOS PAC ID: 2365496775 Enrollment ID: O20050309000285

Entity Name	St Tammany Emergency Physicians Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891187654 PECOS PAC ID: 7214255967 Enrollment ID: O20150409001843

Entity Name	Pcp Urgent Care Holdings Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245601038 PECOS PAC ID: 5092016816 Enrollment ID: O20151222000155

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. Michael Wallis 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
Michael Wallis, NP 200 Corporate Blvd, Suite 201, Lafayette, LA 70508-3870 Ph: () -	Michael Wallis, NP 1634 Elton Rd, Jennings, LA 70546-3614 Ph: (800) 893-9698

Reviews and Comments

Nurse Practitioner Nurses in Jennings, LA

Christian Lewis, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1322 Elton Rd, Suite P, Jennings, LA 70546 Phone: 337-824-2282 Fax: 337-824-0058
Karen Lynn Golla, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 422 Kade Dr Ste 1, Jennings, LA 70546 Phone: 337-388-6200 Fax: 337-388-6201
Amy Elizabeth Hulsey, APRN, WHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 805 State St, Jennings, LA 70546 Phone: 337-824-6150
Jonathan Rochon, FNP-C, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1634 Elton Rd, Jennings, LA 70546 Phone: 337-616-7000
Mr. Matthew Paul Vincent, APRN-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 114 N Lake Arthur Ave, Jennings, LA 70546 Phone: 337-246-7282 Fax: 866-788-0477
Kristen Hanks, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1636 Elton Rd, Suite 204, Jennings, LA 70546 Phone: 337-824-7833 Fax: 337-824-7834

Michael Wallis, NP - Medicare Nurse Practitioner in Jennings, LA