| Mr Emerson Akalee Wallace, CFNP | |
|
1154 Cross Creek Dr, Saltillo, MS 38866-5777 | |
| (662) 840-8010 | |
| (662) 840-2656 |
| Full Name | Mr Emerson Akalee Wallace |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 30 Years |
| Location | 1154 Cross Creek Dr, Saltillo, Mississippi |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336251560 | NPI | - | NPPES |
| 0117978 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R759298 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| North Mississippi Medical Center | Tupelo, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Golden Triangle Urgent Care Llc | 7315197498 | 11 |
| Entity Name | Convenient Care Clinic Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851490841 PECOS PAC ID: 1052587284 Enrollment ID: O20120110000278 |
| Entity Name | Golden Triangle Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346592045 PECOS PAC ID: 7315197498 Enrollment ID: O20121025000818 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Emerson Akalee Wallace, CFNP 118 Cr1810, Saltillo, MS 38866 Ph: (662) 844-6596 | Mr Emerson Akalee Wallace, CFNP 1154 Cross Creek Dr, Saltillo, MS 38866-5777 Ph: (662) 840-8010 |
Mrs. Wendy Oliver Howell, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2686 Highway 145, Suite B, Saltillo, MS 38866 Phone: 662-869-8693 Fax: 662-869-0110 | |
Mrs. Katrina Watkins Frields, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 119 City Market Dr, Saltillo, MS 38866 Phone: 662-534-0898 Fax: 662-534-8905 | |
Mrs. Vanessa Jill Simmons, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1154 Cross Creek Dr, Saltillo, MS 38866 Phone: 662-840-8010 Fax: 662-840-2656 | |
Sarah Rebekah Christian, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 119 City Market Dr, Saltillo, MS 38866 Phone: 662-534-0898 Fax: 662-534-8905 | |
Mrs. Sharon Kay Harmon, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1154 Cross Creek Dr, Saltillo, MS 38866 Phone: 662-840-8010 | |
Dr. John Michael Williamson, DNP, FNP-C, ARM-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1154 Cross Creek Dr, Saltillo, MS 38866 Phone: 662-840-8010 |