Deanna Wallace, NP - Medicare Nurse Practitioner in Decatur, IL

Deanna Wallace, NP is a medicare enrolled "Nurse Practitioner - Family" physician in Decatur, Illinois. She graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Prairie Cardiovascular Consultants Ltd and her current practice location is 1770 E Lake Shore Dr Ste 105, Decatur, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 422-6100.

Deanna Wallace is licensed to practice in Illinois (license number 209014278) 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 1609222579.

Contact Information

Deanna Wallace, NP
1770 E Lake Shore Dr Ste 105,
Decatur, IL 62521-3800
(217) 422-6100
(833) 784-5326



Physician's Profile

Full NameDeanna Wallace
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location1770 E Lake Shore Dr Ste 105, Decatur, Illinois
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:
  • Deanna Wallace graduated from medical school in 2016
  NPI Data:
  • NPI Number: 1609222579
  • Provider Enumeration Date: 05/10/2016
  • Last Update Date: 12/27/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5799074605
  • Enrollment ID: I20160517000849

Medical Identifiers

Medical identifiers for Deanna Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609222579NPI-NPPES
P01657319OtherILRAILROAD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease 209.014278 (Illinois)Secondary
363LF0000XNurse Practitioner - Family 209014278 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Marys HospitalDecatur, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Prairie Cardiovascular Consultants Ltd317343588088

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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. Deanna Wallace allows following entities to bill medicare on her behalf.
Entity NamePrairie Cardiovascular Consultants Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982714218
PECOS PAC ID: 3173435880
Enrollment ID: O20031103000090

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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. Deanna 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
Deanna Wallace, NP
1770 E Lake Shore Dr Ste 105,
Decatur, IL 62521-3800

Ph: (217) 422-6100
Deanna Wallace, NP
1770 E Lake Shore Dr Ste 105,
Decatur, IL 62521-3800

Ph: (217) 422-6100

News Archive

Countries agree to draft framework on virus sharing, WHO says

After almost four years of negotiations, the WHO on Saturday announced it had reached an agreement on sharing flu virus samples, Agence-France Presse reports.

Pathogens use previously undescribed mechanism to sabotage host immune system

New research identifies a previously unknown enzymatic mechanism that subverts the early host immune response and promotes pathogenicity by manipulating a common signaling pathway in host cells.

New coverage gaps, cost issues spur health law worries

News outlets look at the nuts and bolts of the health law's implementation, including a worry that coverage gaps will persist for some vulnerable people, as well as how the government pays for insurance subsidies and why some premium costs increase under the health law.

Pharsight launches Phoenix Pharmacometric Productivity Challenge

Pharsight, a market-leading provider of software and scientific consulting services to improve productivity and decision-making in clinical drug development, announced today that it has launched the Phoenix Pharmacometric Productivity Challenge, a competition to recognize excellence in the application of pharmacometric software to critical problems in drug development.

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TxCell SA, a biotechnology company developing innovative, personalized cellular immunotherapies using regulatory T cells (Treg) to treat severe chronic inflammatory and autoimmune diseases, today announces the signature of a strategic R&D collaboration agreement with the University of British Columbia (UBC) in Vancouver, Canada, a leading global center for multidisciplinary research and teaching.

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› Verified 2 days ago



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