Terri Wallace, FNP - Medicare Nurse Practitioner in Memphis, TN

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Terri Wallace, FNP is a medicare enrolled "Nurse Practitioner" in Memphis, Tennessee. She graduated from nursing school in 2015 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Dedicated Physicians Group Of Tennessee, Pllc and her current practice location is 1056 E Raines Rd, Memphis, Tennessee. You can reach out to her office (for appointments etc.) via phone at (901) 300-5777.

Terri Wallace is licensed to practice in Tennessee (license number 21186) 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 1356796262.

Contact Information

Terri Wallace, FNP
1056 E Raines Rd,
Memphis, TN 38116-6337
(901) 300-5777
(901) 422-6092

Map and Direction




Provider's Profile

Full NameTerri Wallace
GenderFemale
SpecialityNurse Practitioner
Experience11 Years
Location1056 E Raines Rd, Memphis, Tennessee
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Terri Wallace graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1356796262
  • Provider Enumeration Date: 04/28/2016
  • Last Update Date: 07/18/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 6204191372
  • Enrollment ID: I20210409000003

Medical Identifiers

Medical identifiers for Terri Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356796262NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 21186 (Tennessee)Secondary
363L00000XNurse Practitioner 21186 (Tennessee)Primary
363L00000XNurse Practitioner 904130 (Mississippi)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Dedicated Physicians Group Of Tennessee, Pllc55971870886

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. Terri Wallace allows following entities to bill medicare on her behalf.
Entity NameT M Carr Md Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992706097
PECOS PAC ID: 3375504913
Enrollment ID: O20041026000787
Entity NameCrossroads Urgent Care Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366644361
PECOS PAC ID: 8325117484
Enrollment ID: O20080515000672
Entity NameTruhealth Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063843951
PECOS PAC ID: 2163653478
Enrollment ID: O20140331001471
Entity NameCarr, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548677610
PECOS PAC ID: 1850512153
Enrollment ID: O20141030001974
Entity NameCurana Health Of Tennessee Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750761060
PECOS PAC ID: 7416261482
Enrollment ID: O20150804005400
Entity NameDedicated Physicians Group Of Tennessee, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174144695
PECOS PAC ID: 5597187088
Enrollment ID: O20200630001589
Entity NameCh Mssp Services Tn Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003575838
PECOS PAC ID: 0042603656
Enrollment ID: O20220203000451
Entity NameMethodist University Emergency Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023899291
PECOS PAC ID: 4981052719
Enrollment ID: O20231204003274
Entity NameGermantown Emergency Physicians, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518747526
PECOS PAC ID: 7214386812
Enrollment ID: O20231207003122
Entity NameMethodist North Emergency Physicians, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801677083
PECOS PAC ID: 0941659247
Enrollment ID: O20231212002784
Entity NameMethodist South Emergency Physicians, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609657873
PECOS PAC ID: 6406205608
Enrollment ID: O20231213002628

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. Terri 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
Terri Wallace, FNP
1056 E Raines Rd,
Memphis, TN 38116-6337

Ph: (901) 300-5777		Terri Wallace, FNP
1056 E Raines Rd,
Memphis, TN 38116-6337

Ph: (901) 300-5777

Reviews and Comments


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Phone: 901-452-7391    

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.