Rafaella Izar Wallace is a Fort Worth, Texas based nurse practitioner with 10 years of experience in Gerontology. She completed her graduation in 2015. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Rafaella Izar Wallace is AP129253 for Gerontology in Texas. Her current practice location is 500 S Henderson St Ste 200, Fort Worth. Patients can reach her at 817-413-1500 or can fax her at 817-413-1499. Rafaella Izar Wallace is ANP with specialization in Gerontology and her NPI number (Unique professional ID assigned by NPPES) is 1821469107. Rafaella Izar Wallace is specially trained to treat the complex physical and mental health needs of older adults. She have the right to administer medications, order and assess diagnostic tests, and design and implement comprehensive treatment plans for her patients. Adult Gerontology Nurse Practitioner (AGNP) day-to-day responsibilities include helping older patients with daily tasks like eating, bathing, dressing, and walking, administering medications, monitoring vital signs, cooperating with physicians, other advanced nurse practitioners, and registered nurses.
Complete Profile:
Rafaella Izar 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:
Rafaella Izar Wallace
Specialization:
Gerontology Nurse Practitioner (AGNP)
Gender:
Female
Credentials:
ANP
Experience:
10+ years
Medical School Attended:
Other
Graduation Year:
2015
Accepts Medicare Assignment:
Yes
Practice Address:
500 S Henderson St Ste 200, Fort Worth, Texas, 76104-2154
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:
4082919238
Enrollment ID:
I20160225000996
NPI Number:
1821469107
NPI Enumeration Date:
13 Oct, 2015
NPI Last Update On:
01 Dec, 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 Rafaella Izar Wallace are as mentioned below.
License Number
Specialization
State
Status
AP129253
Gerontology
Texas
Primary
AP129253
Adult Health
Texas
Secondary
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 Rafaella Izar Wallace is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Texas Oncology Pa (5395658934)
787
Other Medical Identifiers:
Other legacy medical identifiers associated with Rafaella Izar Wallace such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
365509402
Medicaid
Texas
8449NZ
Other
Texas
BLUE CROSS BLUE SHIELD
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Rafaella Izar Wallace Po Box 911230, Dallas, Texas
Zip:
75391-1230
Phone Number:
972-997-8000
Fax Number:
972-234-2987
Patients can reach Rafaella Izar Wallace at 500 S Henderson St Ste 200, Fort Worth, Texas or can call to book an appointment on 817-413-1500.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.