Mr Benjamin Levi Wallace, FNP-C in Huntsville, TX

Mr Benjamin Levi Wallace, FNP-C is a Nurse Practitioner - Family based in Huntsville, Texas. Mr Benjamin Levi Wallace is licensed to practice in Texas (license number AP134640) and his current practice location is 264 Fm 3478 Rd, Huntsville, Texas. He can be reached at his office (for appointments etc.) via phone at (936) 291-4200.

NPI number for Mr Benjamin Levi Wallace is 1962913293 and his current mailing address is 540 Pine St, Crockett, Texas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1962913293.

Contact Information

	Mr Benjamin Levi Wallace, FNP-C
	264 Fm 3478 Rd, Huntsville, TX 77320-3322
	(936) 291-4200
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Benjamin Levi Wallace
Gender	Male
Speciality	Nurse Practitioner - Family
Location	264 Fm 3478 Rd, Huntsville, Texas
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1962913293
Provider Enumeration Date: 10/13/2017
Last Update Date: 10/13/2017

Medical Identifiers

Medical identifiers for Mr Benjamin Levi Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962913293	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP134640 (Texas)	Primary

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. Mr Benjamin Levi Wallace is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Benjamin Levi Wallace, FNP-C 540 Pine St, Crockett, TX 75835-5555 Ph: (936) 222-1358	Mr Benjamin Levi Wallace, FNP-C 264 Fm 3478 Rd, Huntsville, TX 77320-3322 Ph: (936) 291-4200

Reviews and Comments

Nurse Practitioner Nurses in Huntsville, TX

Grace Amah, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 110 Memorial Hospital Dr, Huntsville, TX 77340 Phone: 936-291-3411
Tara Ann Pankey, AGACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 119 Medical Park Ln Ste D, Huntsville, TX 77340 Phone: 936-277-1000
Jennifer Reeves, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 110 Memorial Hospital Dr, Huntsville, TX 77340 Phone: 936-291-2411
Lisa A Rengifo, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 125 Medical Park Ln Ste C, Huntsville, TX 77340 Phone: 936-291-3219 Fax: 936-291-7206
Tolani Azizat Rasaki-carrier, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 119 Medical Park Ln Ste D, Huntsville, TX 77340 Phone: 936-277-1000
Janet Mehalick, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1608 Avenue J, Box 2358, Huntsville, TX 77341 Phone: 936-294-1805
Mrs. Floserpida Abril Wheeler, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 130 Medical Center Pkwy Ste 1, Huntsville, TX 77340 Phone: 936-291-8205 Fax: 936-291-3862

Mr Benjamin Levi Wallace, FNP-C - Nurse Practitioner in Huntsville, TX