Accepts Medicare Nurse Practitioner in Merrillville, Indiana.
Kathleen Wallace is a Merrillville, Indiana based nurse practitioner with 37 years of experience in . She completed her graduation in 1987. and . She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Kathleen Wallace is 71000826A in Indiana. Her current practice location is 90 W 86th Ave, Merrillville. Patients can reach her at 219-791-1555 or can fax her at 219-791-1560. Kathleen Wallace is APN and her NPI number (Unique professional ID assigned by NPPES) is 1225035504. Kathleen Wallace has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Kathleen Wallace speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
5294989000
Enrollment ID:
I20130201000460
NPI Number:
1225035504
NPI Enumeration Date:
01 Jul, 2005
NPI Last Update On:
13 Dec, 2022
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kathleen Wallace are as mentioned below.
License Number
Specialization
State
Status
71000826A
Indiana
Primary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(150034)
Hobart, IN
Acute Care Hospital
(150002)
Gary, IN
Acute Care Hospital
(150126)
Crown point, IN
Acute Care Hospital
(150125)
Munster, IN
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Kathleen Wallace is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Nephrology Associates Of Northern Illinois Ltd (2163328675)
134
Nephrology Associates Of Northern Indiana Pc (8921033440)
69
Other Medical Identifiers:
Other legacy medical identifiers associated with Kathleen Wallace such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
000000331131
Other
Indiana
ANTHEM BCBS NUMBER
100082060
Medicaid
Indiana
200280140B
Medicaid
Indiana
500012853
Other
Indiana
RR MEDICARE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Kathleen Wallace 120 W 22nd St Ste 200, Oak Brook, Illinois
Zip:
60523-1563
Phone Number:
630-573-5000
Fax Number:
630-491-5472
Patients can reach Kathleen Wallace at 90 W 86th Ave, Merrillville, Indiana or can call to book an appointment on 219-791-1555.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 October, 2024.