Tyrone D Wallace, DC in Lake City, SC - Medicare Chiropractic Provider

Tyrone D Wallace, DC is a medicare enrolled "Chiropractor" provider in Lake City, South Carolina. He went to Sherman College Of Straight Chiropractic and graduated in 1994 and has 30 years of diverse experience with area of expertise as Chiropractic. His current practice location is 263 Kelley St, Ste 100, Lake City, South Carolina. You can reach out to his office (for appointments etc.) via phone at (843) 394-8274.

Tyrone D Wallace is licensed to practice in South Carolina (license number 1873) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1780633420.

Contact Information

	Tyrone D Wallace, DC
	263 Kelley St, Ste 100, Lake City, SC 29560-2450
	(843) 394-8274
	(843) 394-1604

Map and Direction

Healthcare Provider's Profile

Full Name	Tyrone D Wallace
Gender	Male
Speciality	Chiropractic
Experience	30 Years
Location	263 Kelley St, Lake City, South Carolina
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Tyrone D Wallace attended and graduated from Sherman College Of Straight Chiropractic in 1994

NPI Data:

NPI Number: 1780633420
Provider Enumeration Date: 05/09/2006
Last Update Date: 12/07/2016

Medicare PECOS Information:

PECOS PAC ID: 1557541224
Enrollment ID: I20110404000657

Medical Identifiers

Medical identifiers for Tyrone D Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780633420	NPI	-	NPPES
CH1873	Medicaid	SC
571012172	Other	SC	BC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	1873 (South Carolina)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Tyrone D Wallace allows following entities to bill medicare on his behalf.

Provider Name	Primecare Of The Lower Pee Dee Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1437692407 PECOS PAC ID: 0749563120 Enrollment ID: O20170208002843

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tyrone D Wallace is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Tyrone D Wallace, DC 263 Kelley St, Ste 100, Lake City, SC 29560-2450 Ph: (843) 394-8274	Tyrone D Wallace, DC 263 Kelley St, Ste 100, Lake City, SC 29560-2450 Ph: (843) 394-8274

Reviews and Comments

Chiropractor in Lake City, SC

Wallace Chiropractic And Spinal Rehab, Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 263 Kelley St, Suite 100, Lake City, SC 29560 Phone: 843-394-8274 Fax: 843-394-1604
Terrell E Fowler Iii, D.C Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 111 N Matthews Rd, Lake City, SC 29560 Phone: 843-374-8299
Fowler Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 111 N Matthews Rd, Lake City, SC 29560 Phone: 843-374-8299 Fax: 843-374-2195
Dr. Reginel Simon, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 263 Kelley St Ste 100, Lake City, SC 29560 Phone: 843-394-8274
Dr. Chucky Sentell Jordan, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 263 Kelley St Ste 100, Lake City, SC 29560 Phone: 843-394-8274
Primecare Of The Lower Pee Dee Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 263 Kelley St, Ste 100, Lake City, SC 29560 Phone: 843-394-8274 Fax: 843-394-1604

Tyrone D Wallace, DC - Medicare Chiropractor in Lake City, SC