Dr Jeffrey Samuel Wallis, DMD in Cherry Hill, NJ - Medicare Oral Surgery Provider

Dr Jeffrey Samuel Wallis, DMD is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Cherry Hill, New Jersey. He graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Oral Surgery. He is a member of the group practice Oral And Maxillofacial Surgical Associates and his current practice location is 17 W Ormond Ave, Cherry Hill, New Jersey. You can reach out to his office (for appointments etc.) via phone at (856) 428-4445.

Dr Jeffrey Samuel Wallis is licensed to practice in New Jersey (license number 22DI02571300) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1528371507.

Contact Information

	Dr Jeffrey Samuel Wallis, DMD
	17 W Ormond Ave, Cherry Hill, NJ 08002-3041
	(856) 428-4445
	(856) 428-4497

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jeffrey Samuel Wallis
Gender	Male
Speciality	Oral Surgery
Experience	15 Years
Location	17 W Ormond Ave, Cherry Hill, New Jersey
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Jeffrey Samuel Wallis graduated from medical school in 2009

NPI Data:

NPI Number: 1528371507
Provider Enumeration Date: 07/20/2010
Last Update Date: 10/30/2014

Medicare PECOS Information:

PECOS PAC ID: 7416189279
Enrollment ID: I20150608000247

Medical Identifiers

Medical identifiers for Dr Jeffrey Samuel Wallis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528371507	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	DS038160 (Pennsylvania)	Secondary
1223S0112X	Dentist - Oral And Maxillofacial Surgery	22DI02571300 (New Jersey)	Primary
1223S0112X	Dentist - Oral And Maxillofacial Surgery	22DI02571301 (New Jersey)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Oral And Maxillofacial Surgical Associates	7012990807	6

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. Dr Jeffrey Samuel Wallis allows following entities to bill medicare on his behalf.

Entity Name	Oral & Maxillofacial Surgical Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518983121 PECOS PAC ID: 7012990807 Enrollment ID: O20040611000739

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. Dr Jeffrey Samuel Wallis 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
Dr Jeffrey Samuel Wallis, DMD 17 W Ormond Ave, Cherry Hill, NJ 08002-3041 Ph: (856) 428-4445	Dr Jeffrey Samuel Wallis, DMD 17 W Ormond Ave, Cherry Hill, NJ 08002-3041 Ph: (856) 428-4445

Reviews and Comments

Dentist in Cherry Hill, NJ

Dr. George Rankin, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1999 Route 70 E, Suite 1, Cherry Hill, NJ 08003 Phone: 856-424-3186
Dr. Kessy Jessica Lee, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1034 E. Route 70, Cherry Hill, NJ 08034 Phone: 856-795-9007
Dr. Aby Malyil, BDS, MDS, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: Cherry Hill Family Dental, 1617 Kings Highway, Cherry Hill, NJ 08034 Phone: 856-857-0053
Paul G. Grussenmeyer, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 310 Kresson Rd, Cherry Hill, NJ 08034 Phone: 856-428-1088
Dr. Burton L Nussbaum, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1 S Forge Ln, Cherry Hill, NJ 08002 Phone: 856-667-2123 Fax: 856-482-7825
Laurence William Kielt, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 303 So. Kings Hwy. Suite 6, Cherry Hill, NJ 08054 Phone: 856-429-7811 Fax: 856-429-7819
Dr. Charles J Ricciardi, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1930 Marlton Pike E, Executive Mews, Suite K-53, Cherry Hill, NJ 08003 Phone: 856-424-2500 Fax: 856-424-2501

Dr Jeffrey Samuel Wallis, DMD - Medicare Dentist in Cherry Hill, NJ