Issaiah Wallace, PMHNP - Medicare Nurse Practitioner in Weston, WV

Issaiah Wallace, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Weston, West Virginia. He graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice William R Sharpe Jr Hospital and his current practice location is 936 Sharpe Hospital Rd, Weston, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 269-1210.

Issaiah Wallace is licensed to practice in West Virginia (license number 102650) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1508422338.

Contact Information

Issaiah Wallace, PMHNP
936 Sharpe Hospital Rd,
Weston, WV 26452-8550
(304) 269-1210
Not Available



Provider's Profile

Full NameIssaiah Wallace
GenderMale
SpecialityNurse Practitioner
Experience6 Years
Location936 Sharpe Hospital Rd, Weston, West Virginia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Issaiah Wallace graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1508422338
  • Provider Enumeration Date: 05/16/2019
  • Last Update Date: 05/16/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 8325475643
  • Enrollment ID: I20200226002954

Medical Identifiers

Medical identifiers for Issaiah Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508422338NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 102650 (West Virginia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
William R Sharpe Jr Hospital822494938319

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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. Issaiah Wallace allows following entities to bill medicare on his behalf.
Entity NameWilliam R Sharpe Jr Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770581118
PECOS PAC ID: 8224949383
Enrollment ID: O20040122000670

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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. Issaiah 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
Issaiah Wallace, PMHNP
Po Box 12,
Enterprise, WV 26568-0012

Ph: (304) 709-8420
Issaiah Wallace, PMHNP
936 Sharpe Hospital Rd,
Weston, WV 26452-8550

Ph: (304) 269-1210

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Read more News

› Verified 8 days ago


Nurse Practitioner Nurses in Weston, WV

Nicole Radabaugh, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 300 Minuteman Dr, Weston, WV 26452
Phone: 304-999-7870    Fax: 304-269-0165
Ms. Jessica Ann Smith, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 107 Staunton Dr, Weston, WV 26452
Phone: 304-269-2022    Fax: 304-269-2037
Sheree Tiffany Gruber, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 936 Sharpe Hospital Rd, Weston, WV 26452
Phone: 304-269-1210    
Mrs. Brittany Lynn Gregory, RN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 230 Hospital Plz, Weston, WV 26452
Phone: 304-269-8000    
Leigh Anne Jackson, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 230 Hospital Plz, Weston, WV 26452
Phone: 304-269-0030    
Stephanie Dawn Barker, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 230 Hospital Plz, Weston, WV 26452
Phone: 304-269-8000    
Jennifer Kathleen Frazier, PMHNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 936 Sharpe Hospital Rd, Weston, WV 26452
Phone: 304-269-1210    Fax: 304-269-6235

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