Mrs Sarah Wallace, in Leavenworth, KS - Medicare Nurse Practitioner

Mrs Sarah Wallace, is a medicare enrolled "Nurse Practitioner - Family" in Leavenworth, Kansas. Her current practice location is 390 Limit St, Leavenworth, Kansas. You can reach out to her office (for appointments etc.) via phone at (913) 651-2323.

Mrs Sarah Wallace is licensed to practice in Kansas (license number 76650) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1568850006.

Contact Information

	Mrs Sarah Wallace,
	390 Limit St, Leavenworth, KS 66048-4525
	(913) 651-2323
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Sarah Wallace
Gender	Female
Speciality	Nurse Practitioner - Family
Location	390 Limit St, Leavenworth, Kansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568850006
Provider Enumeration Date: 01/07/2015
Last Update Date: 01/07/2015

Medicare PECOS Information:

PECOS PAC ID: 9537485602
Enrollment ID: I20150309000275

Medical Identifiers

Medical identifiers for Mrs Sarah Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568850006	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	76650 (Kansas)	Primary

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. Mrs Sarah Wallace allows following entities to bill medicare on her behalf.

Entity Name	Compassionate Family Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518250794 PECOS PAC ID: 6507022183 Enrollment ID: O20120726000111

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 Sarah 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
Mrs Sarah Wallace, 18714 W 163rd Ter, Olathe, KS 66062-2786 Ph: (785) 249-4676	Mrs Sarah Wallace, 390 Limit St, Leavenworth, KS 66048-4525 Ph: (913) 651-2323

Reviews and Comments

Nurse Practitioner Nurses in Leavenworth, KS

William Maxime Buron Iii, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3550 S 4th St, Leavenworth, KS 66048 Phone: 913-680-6220 Fax: 816-943-2767
Mr. Leo-anthony Nnamdi Ojini, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4101 S 4th St, Leavenworth, KS 66048 Phone: 913-682-2000
Elizabeth Hileman, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 500 Limit St, Leavenworth, KS 66048 Phone: 913-682-5118
Mrs. Crystal Nicosia, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 390 Limit St, Leavenworth, KS 66048 Phone: 866-389-2727
Ms. Sharon L Saim, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4101 S 4th Trafficway, Leavenworth, KS 66048 Phone: 913-682-2000
Paul Joy, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1288 Eisenhower Rd, Leavenworth, KS 66048 Phone: 913-727-1039
Dr. Ndidi Obiefuna, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4101 S 4th St, Leavenworth, KS 66048 Phone: 913-223-7909

Mrs Sarah Wallace, - Medicare Nurse Practitioner in Leavenworth, KS