Princess Gehyigon-wallace, - Medicare Nurse Practitioner in Fridley, MN

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Princess Gehyigon-wallace, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Fridley, Minnesota. Her current practice location is 7362 University Ave Ne Ste 310-3, Fridley, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 567-9587.

Princess Gehyigon-wallace is licensed to practice in Minnesota (license number 6598) 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 1275190027.

Contact Information

Princess Gehyigon-wallace,
7362 University Ave Ne Ste 310-3,
Fridley, MN 55432-3142
(612) 567-9587
(763) 201-3093

Map and Direction




Provider's Profile

Full NamePrincess Gehyigon-wallace
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location7362 University Ave Ne Ste 310-3, Fridley, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1275190027
  • Provider Enumeration Date: 05/28/2019
  • Last Update Date: 02/22/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4284968991
  • Enrollment ID: I20190701001256

Medical Identifiers

Medical identifiers for Princess Gehyigon-wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275190027NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 6598 (Minnesota)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. Princess Gehyigon-wallace allows following entities to bill medicare on her behalf.
Entity NameNystrom & Associates Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396750188
PECOS PAC ID: 6406752492
Enrollment ID: O20031210000592
Entity NameLinq Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710519335
PECOS PAC ID: 1456779669
Enrollment ID: O20200918002022
Entity NameMarthas Open Hands Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235857673
PECOS PAC ID: 6406224450
Enrollment ID: O20221122002060
Entity NameBalanzen Mental Health Corp.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437923117
PECOS PAC ID: 6103267166
Enrollment ID: O20240508003902
Entity NamePremiere Mental Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023832938
PECOS PAC ID: 2365971512
Enrollment ID: O20250203000254

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. Princess Gehyigon-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 AddressPractice Location Address
Princess Gehyigon-wallace,
7362 University Ave Ne # 310-3,
Fridley, MN 55432-3142

Ph: (651) 628-9566		Princess Gehyigon-wallace,
7362 University Ave Ne Ste 310-3,
Fridley, MN 55432-3142

Ph: (612) 567-9587

Reviews and Comments


Nurse Practitioner Nurses in Fridley, MN

Jennifer Mae Sullivan, WHNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 500 Osborne Rd Ne, Suite 200, Fridley, MN 55432
Phone: 763-786-6011    
Kimberly Ann Franklin, DNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 550 Osborne Rd Ne, Fridley, MN 55432
Phone: 763-236-5000    Fax: 763-236-3433
Jeanne Louise Luck, RN, MSN, CFNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 8290 University Ave Ne, Suite 200, Fridley, MN 55432
Phone: 763-786-9543    Fax: 763-786-3320
Miss Chantel Noel Olson, APRN, CNP, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 6401 University Ave Ne, Fridley, MN 55432
Phone: 763-586-5844    
Daniel Spencer Brooks, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 6341 University Ave Ne, Fridley, MN 55432
Phone: 763-586-5844    
Nicole Staloch, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 520 Osborne Rd Ne Ste 120, Fridley, MN 55432
Phone: 763-236-4300    
Nicole Peluso,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 480 Osborne Rd Ne Ste 280, Fridley, MN 55432
Phone: 763-236-3800    

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).

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