Brian Steven Wallin, DO | |
6600 Van Aalst Blvd, Fort Benning, GA 31905 | |
(762) 408-2273 | |
Not Available |
Full Name | Brian Steven Wallin |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 6600 Van Aalst Blvd, Fort Benning, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336401728 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 78492 (Georgia) | Secondary |
207Q00000X | Family Medicine | 0102203815 (Virginia) | Primary |
Entity Name | Qcpi-villagemd Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558872432 PECOS PAC ID: 8123389277 Enrollment ID: O20180306001224 |
Mailing Address | Practice Location Address |
---|---|
Brian Steven Wallin, DO 6600 Van Aalst Blvd, Fort Benning, GA 31905-2102 Ph: () - | Brian Steven Wallin, DO 6600 Van Aalst Blvd, Fort Benning, GA 31905 Ph: (762) 408-2273 |
Brendan Lushbough, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 6600 Van Aalst Blvd, Fort Benning, GA 31905 Phone: 762-408-2532 | |
Dr. Steven Eliot Reissman, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 7950 Martin Loop, Adult Primary Care Clinic, Fort Benning, GA 31905 Phone: 706-544-3218 Fax: 706-544-3601 | |
Dr. Dana K Renta, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 7950 Martin Loop, Fort Benning, GA 31905 Phone: 706-544-1946 Fax: 706-544-4040 | |
Dr. Jeffrey Michael Callin, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7950 Martin Loop, Martin Army Community Hospital, Attn: Credentials, Fort Benning, GA 31905 Phone: 706-544-1442 Fax: 706-544-1493 | |
Dr. Tiffany T Byrd, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7950 Martin Loop, Fort Benning, GA 31905 Phone: 706-544-2111 Fax: 706-544-2632 | |
Dr. Sharon A. Maxwell, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 7950 Martin Loop, Fort Benning, GA 31905 Phone: 706-544-1556 | |
Dr. Joshua Scott Will, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 6600 Van Aalst Blvd, Fort Benning, GA 31905 Phone: 762-408-0300 |