Mrs. Phyllis A Wallace is a Konawa, Oklahoma based nurse practitioner with 22 years of experience in Women Health. She completed her graduation from University Of Nebraska College Of Medicine in 2003. 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. Phyllis A Wallace is 35497 for Family in Oklahoma. Her current practice location is 527 W 3rd St, Konawa. Patients can reach her at 580-925-3286 or can fax her at 580-925-9149. Mrs. Phyllis A Wallace is APRN with specialization in Women Health and her NPI number (Unique professional ID assigned by NPPES) is 1366486417. Mrs. Phyllis A Wallace has an advanced education and clinical experience in women’s health care and provides essential care to women of all ages. Women Health Nurse Practitioner (WHNPs) provide screenings for an array of health-related issues like breast cancer, cervical cancer, diabetes, human papillomavirus infection (HPV) and STIs. WHNPs also check for early signs of Alzheimer’s disease, heart disease and hypertension, and interpersonal and domestic violence.
Complete Profile:
Mrs. Phyllis A 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:
2668511502
Enrollment ID:
I20091205000121
NPI Number:
1366486417
NPI Enumeration Date:
16 Jun, 2006
NPI Last Update On:
22 Nov, 2021
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. Phyllis A Wallace are as mentioned below.
License Number
Specialization
State
Status
35497
Family
Oklahoma
Primary
R0035497
Women Health
Oklahoma
Secondary
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
(370020)
Ada, OK
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 Mrs. Phyllis A Wallace is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Central Oklahoma Family Medical Center Inc (9931189685)
42
Other Medical Identifiers:
Other legacy medical identifiers associated with Mrs. Phyllis A Wallace such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
100155800A
Medicaid
Oklahoma
100155800B
Other
Oklahoma
SOONERCARE PROVIDER
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. Phyllis A Wallace 527 W 3rd St, Konawa, Oklahoma
Zip:
74849-1415
Phone Number:
580-925-3286
Fax Number:
580-925-9149
Patients can reach Mrs. Phyllis A Wallace at 527 W 3rd St, Konawa, Oklahoma or can call to book an appointment on 580-925-3286.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.