Mr Michael Alan Wallace, CNP - Medicare Nurse Practitioner in Albuquerque, NM

Mr Michael Alan Wallace, CNP is a medicare enrolled "Nurse Practitioner - Family" in Albuquerque, New Mexico. His current practice location is 8210 Louisiana Blvd Ne, Suite C, Albuquerque, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 858-1222.

Mr Michael Alan Wallace is licensed to practice in New Mexico (license number R48828) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1003057852.

Contact Information

Mr Michael Alan Wallace, CNP
8210 Louisiana Blvd Ne, Suite C,
Albuquerque, NM 87113-1761
(505) 858-1222
(505) 858-1224



Provider's Profile

Full NameMr Michael Alan Wallace
GenderMale
SpecialityNurse Practitioner - Family
Location8210 Louisiana Blvd Ne, Albuquerque, New Mexico
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003057852
  • Provider Enumeration Date: 03/07/2009
  • Last Update Date: 03/11/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 3375693914
  • Enrollment ID: I20090602000665

Medical Identifiers

Medical identifiers for Mr Michael Alan Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003057852NPI-NPPES
29623341MedicaidNM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family R48828 (New Mexico)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. Mr Michael Alan Wallace allows following entities to bill medicare on his behalf.
Entity NameSanta Fe Pain And Spine Specialists Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700814316
PECOS PAC ID: 4385694975
Enrollment ID: O20050331001151

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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. Mr Michael Alan 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
Mr Michael Alan Wallace, CNP
8210 Louisiana Blvd Ne, Suite C,
Albuquerque, NM 87113-1761

Ph: (505) 858-1222
Mr Michael Alan Wallace, CNP
8210 Louisiana Blvd Ne, Suite C,
Albuquerque, NM 87113-1761

Ph: (505) 858-1222

News Archive

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A clinical trial investigating the use of a physician-monitored app to help first-time minority stroke patients become healthier has begun at The University of Texas Health Science Center at Houston.

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Nurse Practitioner Nurses in Albuquerque, NM

Mrs. Kristell L Michael, APN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: Us Air Force 377 Mdg/sghc 2050a Second Street Se, Albuquerque, NM 87117
Phone: 505-846-3562    Fax: 334-953-8607
Ms. Maureen Kolomeir, RN, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 5345 Wyoming Blvd, Suite 101, Albuquerque, NM 87109
Phone: 505-856-6898    Fax: 505-292-1574
Patricia J Miller, PMHNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: Care Campus, 5901 Zuni Rd Se, Albuquerque, NM 87108
Phone: 505-321-4269    
Mrs. Jessika Junick, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3825 Eubank Blvd Ne Ste A, Albuquerque, NM 87111
Phone: 505-292-8575    Fax: 505-292-8409
Phyllis Annette Ingham, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1100 Lead Ave Se, Albuquerque, NM 87106
Phone: 505-224-7000    
Debra Vaccaro, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3500 Comanche Rd Ne Ste C, Albuquerque, NM 87107
Phone: 505-998-7200    Fax: 505-998-7220

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