Mrs. Melissa B Wallace is a Saint Louis, Missouri based nurse practitioner with 13 years of experience in . She completed her graduation in 2011. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mrs. Melissa B Wallace is 151045 in Missouri. Her current practice location is 4901 Forest Park Ave Ste 710, Ste 710, Saint Louis. Patients can reach her at 314-362-4211 or can fax her at 314-362-0049. Mrs. Melissa B Wallace is WHNP and her NPI number (Unique professional ID assigned by NPPES) is 1497027247. Mrs. Melissa B 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:
Mrs. Melissa B Wallace speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Mrs. Melissa B Wallace
Specialization:
Nurse Practitioner (NP)
Gender:
Female
Credentials:
WHNP
Experience:
13+ years
Medical School Attended:
Other
Graduation Year:
2011
Accepts Medicare Assignment:
Yes
Practice Address:
4901 Forest Park Ave Ste 710, Ste 710, Saint Louis, Missouri, 63108-1402
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:
0648597765
Enrollment ID:
I20150327002448
NPI Number:
1497027247
NPI Enumeration Date:
08 Feb, 2012
NPI Last Update On:
29 Jan, 2018
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Melissa B Wallace are as mentioned below.
License Number
Specialization
State
Status
151045
Missouri
Primary
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 Mrs. Melissa B Wallace is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
St Louis Women's Healthcare Group Pc (6709900202)
6
Other Medical Identifiers:
Other legacy medical identifiers associated with Mrs. Melissa B Wallace such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
ENROLLED
Medicaid
Illinois
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Mrs. Melissa B Wallace 660 S Euclid Ave, C B 8064 Saint Louis, Missouri
Zip:
63110-1010
Phone Number:
314-747-0800
Fax Number:
314-747-4019
Patients can reach Mrs. Melissa B Wallace at 4901 Forest Park Ave Ste 710, Ste 710, Saint Louis, Missouri or can call to book an appointment on 314-362-4211.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.