Mr Emerson Akalee Wallace, CFNP in Saltillo, MS

Mr Emerson Akalee Wallace, CFNP is a medicare enrolled "Nurse Practitioner - Family" in Saltillo, Mississippi. He graduated from nursing school in 1996 and has 28 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Golden Triangle Urgent Care Llc and his current practice location is 1154 Cross Creek Dr, Saltillo, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 840-8010.

Mr Emerson Akalee Wallace is licensed to practice in Mississippi (license number R759298) 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 1336251560.

Contact Information

	Mr Emerson Akalee Wallace, CFNP
	1154 Cross Creek Dr, Saltillo, MS 38866-5777
	(662) 840-8010
	(662) 840-2656

Map and Direction

Provider's Profile

Full Name	Mr Emerson Akalee Wallace
Gender	Male
Speciality	Nurse Practitioner
Experience	28 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.

Medical Education and Training:

Mr Emerson Akalee Wallace graduated from nursing school in 1996

NPI Data:

NPI Number: 1336251560
Provider Enumeration Date: 09/01/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 2769480508
Enrollment ID: I20120208000525

Medical Identifiers

Medical identifiers for Mr Emerson Akalee Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336251560	NPI	-	NPPES
0117978	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R759298 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
North Mississippi Medical Ctr Hha	Tupelo, MS	Home health agency
North Mississippi Medical Center	Tupelo, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Golden Triangle Urgent Care Llc	7315197498	14

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. Mr Emerson Akalee Wallace allows following entities to bill medicare on his behalf.

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

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 Emerson Akalee 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
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

Reviews and Comments

Nurse Practitioner Nurses in Saltillo, MS

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. 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
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: Not Enrolled in Medicare Practice Location: 1154 Cross Creek Dr, Saltillo, MS 38866 Phone: 662-840-8010
Sara Tate, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1154 Cross Creek Dr, Saltillo, MS 38866 Phone: 662-840-8010 Fax: 662-840-2656
Dr. Amanda Blount Ermis, FNP, AGACNP, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 110 Big Harpe Trail, Saltillo, MS 38866 Phone: 901-545-7100

Mr Emerson Akalee Wallace, CFNP - Medicare Nurse Practitioner in Saltillo, MS