Charlotte Wallace, MD in Charleston, SC - Medicare Diagnostic Radiology

Charlotte Wallace, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Charleston, South Carolina. She graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice Georgetown Radiology and her current practice location is 96 Jonathan Lucas St, Charleston, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 792-2300.

Charlotte Wallace is licensed to practice in South Carolina (license number 39581) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1831540178.

Contact Information

	Charlotte Wallace, MD
	96 Jonathan Lucas St, Charleston, SC 29425-6672
	(843) 792-2300
	Not Available

Map and Direction

Physician's Profile

Full Name	Charlotte Wallace
Gender	Female
Speciality	Diagnostic Radiology
Experience	8 Years
Location	96 Jonathan Lucas St, Charleston, South Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Charlotte Wallace graduated from medical school in 2016

NPI Data:

NPI Number: 1831540178
Provider Enumeration Date: 06/28/2016
Last Update Date: 04/26/2022

Medicare PECOS Information:

PECOS PAC ID: 2062709256
Enrollment ID: I20210629001062

Medical Identifiers

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

Identifier	Type	State	Issuer
1831540178	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	LL39581 (South Carolina)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	39581 (South Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Tidelands Waccamaw Community Hospital	Murrells inlet, SC	Hospital
Tidelands Georgetown Memorial Hospital	Georgetown, SC	Hospital
Musc Medical Center	Charleston, SC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Georgetown Radiology	1153405360	7

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. Charlotte Wallace allows following entities to bill medicare on her behalf.

Entity Name	University Medical Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043241110 PECOS PAC ID: 6305758574 Enrollment ID: O20031105000291

Entity Name	Georgetown Radiology
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538125018 PECOS PAC ID: 1153405360 Enrollment ID: O20080227000258

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. Charlotte 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
Charlotte Wallace, MD Po Box 751461, Charlotte, NC 28275-1461 Ph: (843) 792-6200	Charlotte Wallace, MD 96 Jonathan Lucas St, Charleston, SC 29425-6672 Ph: (843) 792-2300

Reviews and Comments

Radiology Doctors in Charleston, SC

Dr. Richard Hayden Jones, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414
Sai Kiran Gudla, Radiology Medicare: Not Enrolled in Medicare Practice Location: 169 Ashley Ave Rm 202, Charleston, SC 29425 Phone: 843-792-2575
Karen L Spodarek, D.O. Radiology Medicare: Medicare Enrolled Practice Location: 316 Calhoun St, Charleston, SC 29401 Phone: 843-724-2154 Fax: 843-805-6277
Johnny Phillips Campbell, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 316 Calhoun St, Charleston, SC 29401 Phone: 843-724-2988
Nancy Curry, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414
Donna Rae Roberts, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414
Christopher Jason Nguyen, MD Radiology Medicare: Medicare Enrolled Practice Location: 9228 Medical Plaza Dr, Charleston, SC 29406 Phone: 843-876-7080 Fax: 843-876-7111

Charlotte Wallace, MD - Medicare Diagnostic Radiology in Charleston, SC