Peggy Lynn Wallace, APRN in Layton, UT - Medicare Nurse Practitioner

Peggy Lynn Wallace, APRN is a medicare enrolled "Nurse Practitioner" in Layton, Utah. She graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Catholic Health Initiatives Colorado and her current practice location is 2132 N 1700 W, Ste 100, Layton, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 807-7900.

Peggy Lynn Wallace is licensed to practice in Utah (license number 114266-4405) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1841862059.

Contact Information

	Peggy Lynn Wallace, APRN
	2132 N 1700 W, Ste 100, Layton, UT 84041-7059
	(801) 807-7900
	(801) 807-7904

Map and Direction

Provider's Profile

Full Name	Peggy Lynn Wallace
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	2132 N 1700 W, Ste 100, Layton, Utah
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Peggy Lynn Wallace graduated from nursing school in 2021

NPI Data:

NPI Number: 1841862059
Provider Enumeration Date: 07/15/2021
Last Update Date: 06/27/2023

Medicare PECOS Information:

PECOS PAC ID: 3274911060
Enrollment ID: I20220607002405

Medical Identifiers

Medical identifiers for Peggy Lynn Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841862059	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	114266-4405 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Davis Hospital And Medical Center	Layton, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Catholic Health Initiatives Colorado	8022927342	1231

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. Peggy Lynn Wallace allows following entities to bill medicare on her behalf.

Entity Name	Provas Of Salt Lake Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407410244 PECOS PAC ID: 1850620303 Enrollment ID: O20190909001007

Entity Name	Onsite Advanced Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184293136 PECOS PAC ID: 7911300058 Enrollment ID: O20210727001182

Entity Name	Catholic Health Initiatives Colorado
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942903562 PECOS PAC ID: 8022927342 Enrollment ID: O20230615001995

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. Peggy Lynn 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
Peggy Lynn Wallace, APRN 1115 E 1675 N, North Ogden, UT 84404-3379 Ph: (801) 675-6624	Peggy Lynn Wallace, APRN 2132 N 1700 W, Ste 100, Layton, UT 84041-7059 Ph: (801) 807-7900

Reviews and Comments

Nurse Practitioner Nurses in Layton, UT

Jennifer C Green, MSN, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 838 E 625 S, Layton, UT 84041 Phone: 801-725-5595
Shae Francom, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2075 University Park Blvd, Layton, UT 84041 Phone: 801-779-6200
Jonathan D Wilson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3225 W Gordon Ave Ste 1, Layton, UT 84041 Phone: 801-397-6150 Fax: 801-397-6151
Elizabeth Regan Harwell, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 934 S Main St, Layton, UT 84041 Phone: 801-773-7060 Fax: 801-336-1787
Steve D Mayer, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1916 N 700 W Ste 250, Layton, UT 84041 Phone: 801-479-0312 Fax: 801-479-3364
Mrs. Valentina P Lindsay, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 378 N Main St # 134, Layton, UT 84041 Phone: 801-941-0049
Heather L Bernard, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 934 S Main St, Layton, UT 84041 Phone: 801-546-1168

Peggy Lynn Wallace, APRN - Medicare Nurse Practitioner in Layton, UT