Mrs Edna Fells Wallace, LPN - Licensed Practical Nurse in Fayette, MS

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Mrs Edna Fells Wallace, LPN is a Licensed Practical Nurse based in Fayette, Mississippi. Mrs Edna Fells Wallace is licensed to practice in Mississippi (license number P189022) and her current practice location is 1555 N. Main Street, Fayette, Mississippi. She can be reached at her office (for appointments etc.) via phone at (601) 786-8091.

NPI number for Mrs Edna Fells Wallace is 1255274411 and her current mailing address is Po Box 194, Lorman, Mississippi. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255274411.

Contact Information

Mrs Edna Fells Wallace, LPN
1555 N. Main Street,
Fayette, MS 39069
(601) 786-8091
(601) 786-8023

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Provider's Profile

Full NameMrs Edna Fells Wallace
GenderFemale
SpecialityLicensed Practical Nurse
Location1555 N. Main Street, Fayette, Mississippi
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1255274411
  • Provider Enumeration Date: 04/13/2026
  • Last Update Date: 04/13/2026

Medical Identifiers

Medical identifiers for Mrs Edna Fells Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255274411NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse P189022 (Mississippi)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. Mrs Edna Fells 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 AddressPractice Location Address
Mrs Edna Fells Wallace, LPN
Po Box 194,
Lorman, MS 39096-0194

Ph: (601) 809-8901		Mrs Edna Fells Wallace, LPN
1555 N. Main Street,
Fayette, MS 39069

Ph: (601) 786-8091

Reviews and Comments


Licensed Practical Nurse Nurses in Fayette, MS

Alicia R Berry-kaho, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 90 Avendale Road, Fayette, MS 39069
Phone: 601-451-5018    Fax: 601-451-5018

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.