Tresa C Wallace, WHNP in Indianapolis, IN - Medicare Nurse Practitioner

Tresa C Wallace, WHNP is a medicare enrolled "Nurse Practitioner - Obstetrics & Gynecology" in Indianapolis, Indiana. She graduated from nursing school in 2012 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice University Medical Center Management Corporation and her current practice location is 201 N Illinois St, Indianapolis, Indiana. You can reach out to her office (for appointments etc.) via phone at (888) 731-8994.

Tresa C Wallace is licensed to practice in Louisiana (license number AP07277) 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 1245673565.

Contact Information

	Tresa C Wallace, WHNP
	201 N Illinois St, Indianapolis, IN 46204-1904
	(888) 731-8994
	Not Available

Map and Direction

Provider's Profile

Full Name	Tresa C Wallace
Gender	Female
Speciality	Nurse Practitioner
Experience	14 Years
Location	201 N Illinois St, Indianapolis, Indiana
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:

Tresa C Wallace graduated from nursing school in 2012

NPI Data:

NPI Number: 1245673565
Provider Enumeration Date: 04/17/2013
Last Update Date: 11/22/2025

Medicare PECOS Information:

PECOS PAC ID: 1153641402
Enrollment ID: I20150528000091

Medical Identifiers

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

Identifier	Type	State	Issuer
1245673565	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LX0001X	Nurse Practitioner - Obstetrics & Gynecology	AP07277 (Louisiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Medical Center New Orleans	New orleans, LA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Medical Center Management Corporation	7012150311	75

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. Tresa C Wallace allows following entities to bill medicare on her behalf.

Entity Name	Louisiana State University School Of Medicine In New Orleans Faculty G
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477582526 PECOS PAC ID: 0244136448 Enrollment ID: O20031209000661

Entity Name	University Medical Center Management Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083655567 PECOS PAC ID: 7012150311 Enrollment ID: O20130906000137

Entity Name	Jeffcare
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518383785 PECOS PAC ID: 7911125513 Enrollment ID: O20140827000480

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. Tresa C 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
Tresa C Wallace, WHNP 2000 Canal St, New Orleans, LA 70112-3018 Ph: (504) 702-3928	Tresa C Wallace, WHNP 201 N Illinois St, Indianapolis, IN 46204-1904 Ph: (888) 731-8994

Reviews and Comments

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Mrs. Kelly Lentz, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2732 W Michigan St, Indianapolis, IN 46222 Phone: 317-554-4600 Fax: 317-554-4617
Samantha Lee Stalnaker, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1919 E 52nd St, Indianapolis, IN 46205 Phone: 317-429-0120 Fax: 317-800-7730

Tresa C Wallace, WHNP - Medicare Nurse Practitioner in Indianapolis, IN