Sara Davis Wallace, FNP-BC in Florence, SC - Medicare Nurse Practitioner

Sara Davis Wallace, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Florence, South Carolina. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southeastern Regional Physician Services and her current practice location is 600 E Palmetto St, Florence, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 667-9414.

Sara Davis Wallace is licensed to practice in South Carolina (license number 23661) 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 1750908174.

Contact Information

	Sara Davis Wallace, FNP-BC
	600 E Palmetto St, Florence, SC 29506-2851
	(843) 667-9414
	Not Available

Map and Direction

Provider's Profile

Full Name	Sara Davis Wallace
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	600 E Palmetto St, Florence, South Carolina
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:

Sara Davis Wallace graduated from nursing school in 2019

NPI Data:

NPI Number: 1750908174
Provider Enumeration Date: 07/01/2020
Last Update Date: 07/15/2020

Medicare PECOS Information:

PECOS PAC ID: 1850711516
Enrollment ID: I20221115001877

Medical Identifiers

Medical identifiers for Sara Davis Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750908174	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	23661 (South Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Southeastern Regional Medical Center	Lumberton, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southeastern Regional Physician Services	7012058548	32

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. Sara Davis Wallace allows following entities to bill medicare on her behalf.

Entity Name	Southeastern Regional Physician Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427282045 PECOS PAC ID: 7012058548 Enrollment ID: O20100106000556

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. Sara Davis 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
Sara Davis Wallace, FNP-BC 360 N Irby St, Florence, SC 29501-2808 Ph: (843) 667-9414	Sara Davis Wallace, FNP-BC 600 E Palmetto St, Florence, SC 29506-2851 Ph: (843) 667-9414

Reviews and Comments

Nurse Practitioner Nurses in Florence, SC

Mrs. Callie Hanson Carpenter, F.N.P Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 555 E Cheves St, Florence, SC 29506 Phone: 843-777-2000
Jessica Ann Reviea, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1594 Freedom Blvd Ste 100, Florence, SC 29505 Phone: 843-674-4787
Jennifer Lucas Reid, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 214 W Pine St, Florence, SC 29501 Phone: 843-661-0500 Fax: 436-617-3708
Christy Mcwhite, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 145 E Cheves St, Florence, SC 29506 Phone: 843-661-4835
Betty Gattison, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 E Cheves St, Florence, SC 29506 Phone: 843-669-6694
Theressa L Garris, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 204 E Cheves St, Florence, SC 29506 Phone: 843-777-7601 Fax: 843-662-2474
Michelle D Poston, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 360 N Irby St, Florence, SC 29501 Phone: 843-667-9414 Fax: 843-667-1362

Sara Davis Wallace, FNP-BC - Medicare Nurse Practitioner in Florence, SC