Asha Wallace, MD is a
Family Medicine physician based in Marion, Massachusetts. Asha Wallace is licensed to practice in Massachusetts (license number 30997) and her current practice location is 167 Converse Rd, Marion, Massachusetts. She can be reached at her office (for appointments etc.) via phone at
(508) 748-9749.
NPI number for Asha Wallace is 1578797080 and her current mailing address is 167 Converse Rd, Marion, Massachusetts. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1578797080.
Physician's Profile
Full Name | Asha Wallace |
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Gender | Female |
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Speciality | Family Medicine |
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Location | 167 Converse Rd, Marion, Massachusetts |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1578797080
- Provider Enumeration Date: 05/12/2009
- Last Update Date: 05/12/2009
Medical Identifiers
Medical identifiers for Asha Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578797080 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 30997 (Massachusetts) | Primary |
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. Asha Wallace is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Asha Wallace, MD 167 Converse Rd, Marion, MA 02738-1720 Ph: (508) 748-9749 | Asha Wallace, MD 167 Converse Rd, Marion, MA 02738-1720 Ph: (508) 748-9749 |
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