Johnna Wallace, AUD - Medicare Audiologist in Oklahoma City, OK

Johnna Wallace, AUD is a medicare enrolled "Audiologist" provider in Oklahoma City, Oklahoma. Her current practice location is 11500 N Portland Ave, Oklahoma City, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (405) 548-4300.

Johnna Wallace is licensed to practice in Oklahoma (license number 4140) 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 1740610005.

Contact Information

Johnna Wallace, AUD
11500 N Portland Ave,
Oklahoma City, OK 73120
(405) 548-4300
(405) 548-4350



Healthcare Provider's Profile

Full NameJohnna Wallace
GenderFemale
SpecialityAudiologist
Location11500 N Portland Ave, Oklahoma City, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1740610005
  • Provider Enumeration Date: 11/22/2013
  • Last Update Date: 05/29/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 5698908036
  • Enrollment ID: I20140509000153

Medical Identifiers

Medical identifiers for Johnna Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740610005NPI-NPPES
200100230AMedicaidOK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
231H00000XAudiologist 4140 (Oklahoma)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. Johnna Wallace allows following entities to bill medicare on her behalf.
Provider NameHearts For Hearing Foundation
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1215006150
PECOS PAC ID: 8820195399
Enrollment ID: O20070517000246

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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. Johnna 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
Johnna Wallace, AUD
11500 N Portland Ave,
Oklahoma City, OK 73120-4625

Ph: (405) 548-4300
Johnna Wallace, AUD
11500 N Portland Ave,
Oklahoma City, OK 73120

Ph: (405) 548-4300

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Audiologist in Oklahoma City, OK

Mrs. Farris Ree Stroupe, AU.D.
Audiologist
Medicare: Not Enrolled in Medicare
Practice Location: 4140 W. Memorial Rd Suite 116, Oklahoma City, OK 73120
Phone: 405-755-1930    
Kristen Macdougall Bybee, AU.D.
Audiologist
Medicare: Accepting Medicare Assignments
Practice Location: 1200 Childrens Ave # 8c, Oklahoma City, OK 73104
Phone: 405-271-2662    
Kerri Anne Conley, M.S.
Audiologist
Medicare: Not Enrolled in Medicare
Practice Location: 3400 Nw 56th St, Oklahoma City, OK 73112
Phone: 405-949-1906    
Dr. Elizabeth Ann Harder, AU.D.
Audiologist
Medicare: Accepting Medicare Assignments
Practice Location: 535 Nw 9th St, Suite 305, Oklahoma City, OK 73102
Phone: 405-272-6027    
Ms. Esther H Kim, AUD
Audiologist
Medicare: Accepting Medicare Assignments
Practice Location: 11500 N Portland Ave, Oklahoma City, OK 73120
Phone: 405-548-4300    Fax: 405-548-4349
Dr. Elizabeth Ruth Elliott, AU.D., M.B.A.
Audiologist
Medicare: Not Enrolled in Medicare
Practice Location: 921 Ne 13th St, Oklahoma City, OK 73104
Phone: 405-270-0501    Fax: 405-552-4365
Jace A Wolfe, PHD
Audiologist
Medicare: Accepting Medicare Assignments
Practice Location: 11500 N Portland Ave, Oklahoma City, OK 73120
Phone: 405-548-4300    

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