Tonia Wallace, PMHNP-BC in Glendale, AZ - Medicare Nurse Practitioner

Tonia Wallace, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Glendale, Arizona. 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 Eventus Wholehealth Pllc, Eventus Wh Southeast, Llc, Alliance Healthcare Services and her current practice location is 6751 N Sunset Blvd Ste 320, Glendale, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 516-8037.

Tonia Wallace is licensed to practice in North Carolina (license number 5020892) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1700531498.

Contact Information

	Tonia Wallace, PMHNP-BC
	6751 N Sunset Blvd Ste 320, Glendale, AZ 85305-3155
	(480) 516-8037
	Not Available

Map and Direction

Provider's Profile

Full Name	Tonia Wallace
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	6751 N Sunset Blvd Ste 320, Glendale, Arizona
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Tonia Wallace graduated from nursing school in 2021

NPI Data:

NPI Number: 1700531498
Provider Enumeration Date: 02/21/2022
Last Update Date: 11/20/2025

Medicare PECOS Information:

PECOS PAC ID: 7911381496
Enrollment ID: I20241211003518

Medical Identifiers

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

Identifier	Type	State	Issuer
1700531498	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	270985 (Arizona)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	5020892 (North Carolina)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Eventus Wholehealth Pllc	6002169539	290
Eventus Wh Southeast, Llc	5496294456	231
Alliance Healthcare Services	4082766621	30

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. Tonia Wallace allows following entities to bill medicare on her behalf.

Entity Name	Tailored Psychiatric Wellness Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023872454 PECOS PAC ID: 4981041373 Enrollment ID: O20241211003398

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. Tonia 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
Tonia Wallace, PMHNP-BC 15652 W Durango St, Goodyear, AZ 85338-3370 Ph: (708) 829-1520	Tonia Wallace, PMHNP-BC 6751 N Sunset Blvd Ste 320, Glendale, AZ 85305-3155 Ph: (480) 516-8037

Reviews and Comments

Nurse Practitioner Nurses in Glendale, AZ

Kaitlin Spivey, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7701 W Aspera Blvd, Glendale, AZ 85308 Phone: 623-248-2100
Ruth E Sanders, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5041 N 86th Dr, Glendale, AZ 85305 Phone: 866-389-2727 Fax: 612-659-7101
Ms. Christa L O'mara, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7701 W Aspera Blvd, Glendale, AZ 85308 Phone: 623-248-2108
Emma Louise Keltgen, DNP, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6975 W Glendale Ave, Glendale, AZ 85303 Phone: 602-243-7277 Fax: 602-286-0808
Joyce Kim, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6151-6153 W Olive Ave, Glendale, AZ 85302 Phone: 602-773-5546
Anthony James Shaw, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7190 W Fleetwood Ln, Glendale, AZ 85303 Phone: 602-568-8381
Heather Geyman, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19875 N 51st Ave, Glendale, AZ 85308 Phone: 623-581-8998 Fax: 623-581-8998

Tonia Wallace, PMHNP-BC - Medicare Nurse Practitioner in Glendale, AZ