Lisa M Wallace, FNP - Medicare Nurse Practitioner in Florence, SC

Lisa M Wallace, FNP is a medicare enrolled "Nurse Practitioner - Family" in Florence, South Carolina. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mcleod Physician Associates Ii and her current practice location is 800 E Cheves St Ste 200, Florence, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 662-1502.

Lisa M Wallace is licensed to practice in South Carolina (license number 21595) 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 1235637182.

Contact Information

Lisa M Wallace, FNP
800 E Cheves St Ste 200,
Florence, SC 29506-2651
(843) 662-1502
(843) 678-3611



Provider's Profile

Full NameLisa M Wallace
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location800 E Cheves St Ste 200, Florence, South Carolina
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:
  • Lisa M Wallace graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1235637182
  • Provider Enumeration Date: 01/25/2018
  • Last Update Date: 02/24/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6709140619
  • Enrollment ID: I20180501000702

Medical Identifiers

Medical identifiers for Lisa M Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235637182NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 21595 (South Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mcleod Home Health IncFlorence, SCHome health agency
Mcleod Regional Medical Center-pee DeeFlorence, SCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mcleod Physician Associates Ii8224031307520

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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. Lisa M Wallace allows following entities to bill medicare on her behalf.
Entity NameMcleod Physician Associates Ii
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801990494
PECOS PAC ID: 8224031307
Enrollment ID: O20060926000568

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Entity NameMcleod Health Clarendon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508218793
PECOS PAC ID: 0840582656
Enrollment ID: O20160915000930

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Entity NameElite Patient Care Of South Carolina Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316477896
PECOS PAC ID: 1951672617
Enrollment ID: O20170731000866

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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. Lisa M 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
Lisa M Wallace, FNP
Po Box 3239,
Florence, SC 29502-3239

Ph: (843) 777-7098
Lisa M Wallace, FNP
800 E Cheves St Ste 200,
Florence, SC 29506-2651

Ph: (843) 662-1502

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Nurse Practitioner Nurses in Florence, SC

Mrs. Callie Hanson Carpenter, F.N.P
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 555 E Cheves St, Florence, SC 29506
Phone: 843-777-2000    
Jessica Ann Reviea, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1594 Freedom Blvd Ste 100, Florence, SC 29505
Phone: 843-674-4787    
Jennifer Lucas Reid, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 214 W Pine St, Florence, SC 29501
Phone: 843-661-0500    Fax: 436-617-3708
Christy Mcwhite,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 145 E Cheves St, Florence, SC 29506
Phone: 843-661-4835    
Betty Gattison, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1100 E Cheves St, Florence, SC 29506
Phone: 843-669-6694    
Theressa L Garris, PNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 204 E Cheves St, Florence, SC 29506
Phone: 843-777-7601    Fax: 843-662-2474
Michelle D Poston, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 360 N Irby St, Florence, SC 29501
Phone: 843-667-9414    Fax: 843-667-1362

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