Michael Wallis

NP | Nurse Practitioner | 20+ years Exp

1634 Elton Rd, Jennings
  Louisiana, 70546-3614
800-893-9698
Accepts Medicare Nurse Anesthetist in Jennings, Louisiana.
Michael Wallis is a Jennings, Louisiana based nurse practitioner with 20 years of experience in . He completed his graduation in 2005. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Michael Wallis is RN112816 in Louisiana. His current practice location is 1634 Elton Rd, Jennings. Patients can reach him at 800-893-9698. Michael Wallis is NP and his NPI number (Unique professional ID assigned by NPPES) is 1285050690.
Michael Wallis 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:
Michael Wallis speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Michael Wallis
Specialization: Nurse Practitioner (NP)
Gender:Male
Credentials: NP
Experience: 20+ years
Medical School Attended:Other
Graduation Year:2005
Accepts Medicare Assignment:Yes
Practice Address:1634 Elton Rd, Jennings,
Louisiana, 70546-3614
Phone:800-893-9698
Professional Identification Codes:
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: 0345471751
Enrollment ID: I20140328000930
NPI Number: 1285050690
NPI Enumeration Date: 10 Mar, 2014
NPI Last Update On: 26 Jan, 2020

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Michael Wallis are as mentioned below.
License NumberSpecializationStateStatus
RN112816 LouisianaPrimary
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 Michael Wallis is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Hospital Service District 1 Of East Baton Rouge Parish (0941191902)33
Pcp Urgent Care Holdings Llc (5092016816)50
Other Medical Identifiers:
Other legacy medical identifiers associated with Michael Wallis such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
2356003MedicaidLouisiana
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Michael Wallis
200 Corporate Blvd, Suite 201
Lafayette, Louisiana
Zip: 70508-3870
Patients can reach Michael Wallis at 1634 Elton Rd, Jennings, Louisiana or can call to book an appointment on 800-893-9698.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.