Kendall E Wallace, APRN - Medicare Nurse Practitioner in Urbana, IL

Kendall E Wallace, APRN is a medicare enrolled "Nurse Practitioner - Family" in Urbana, Illinois. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Memorial Physician Services and her current practice location is 611 W Park St, Urbana, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 383-3311.

Kendall E Wallace is licensed to practice in Illinois (license number 209017908) 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 1003391061.

Contact Information

Kendall E Wallace, APRN
611 W Park St,
Urbana, IL 61801-2529
(217) 383-3311
Not Available



Provider's Profile

Full NameKendall E Wallace
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location611 W Park St, Urbana, 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:
  • Kendall E Wallace graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1003391061
  • Provider Enumeration Date: 09/26/2018
  • Last Update Date: 04/04/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6305180266
  • Enrollment ID: I20181204000097

Medical Identifiers

Medical identifiers for Kendall E Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003391061NPI-NPPES
041412378OtherILRN LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 209017908 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Decatur Memorial HospitalDecatur, ILHospital
Memorial Medical CenterSpringfield, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Memorial Physician Services9032005681170

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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. Kendall E Wallace allows following entities to bill medicare on her behalf.
Entity NameMemorial Physician Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417922964
PECOS PAC ID: 9032005681
Enrollment ID: O20040223000454

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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. Kendall E 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
Kendall E Wallace, APRN
611 W Park St,
Urbana, IL 61801-2501

Ph: () -
Kendall E Wallace, APRN
611 W Park St,
Urbana, IL 61801-2529

Ph: (217) 383-3311

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Nurse Practitioner Nurses in Urbana, IL

Lindy Drollinger, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 610 N. Lincoln Ave., Neurosurgery, Urbana, IL 61801
Phone: 217-383-3507    Fax: 217-383-3171
Emily Remington, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 611 W Park St, Urbana, IL 61801
Phone: 217-383-3140    Fax: 217-383-4966
Jiaqiu Sinha, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 509 W University Ave, Urbana, IL 61801
Phone: 217-383-6645    
Mrs. Doris M Lawyer, CNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1109 S Lincoln Ave, Urbana, IL 61801
Phone: 217-333-2711    
Peter Kale, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1818 E. Windsor Road, Adult Medicine/geriatrics, Urbana, IL 61802
Phone: 217-255-9672    Fax: 217-383-4681
Kelly Johnson,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1818 E. Windsor Road, Urbana, IL 61802
Phone: 217-255-9670    Fax: 217-255-9724

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