David W Wallace, MD MBA in Shelbyville, KY

David W Wallace, MD MBA is a medicare enrolled "Family Medicine" physician in Shelbyville, Kentucky. He went to University Of Louisville School Of Medicine and graduated in 1981 and has 43 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Kentucky Orthopedic Rehabilitation Llc, University Of Louisville Physicians Inc and his current practice location is 515 Hospital Dr, Suite 1, Shelbyville, Kentucky. You can reach out to his office (for appointments etc.) via phone at (502) 633-3525.

David W Wallace is licensed to practice in Kentucky (license number 22054) 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 1376532168.

Contact Information

	David W Wallace, MD MBA
	515 Hospital Dr, Suite 1, Shelbyville, KY 40065-1640
	(502) 633-3525
	(502) 633-8075

Map and Direction

Physician's Profile

Full Name	David W Wallace
Gender	Male
Speciality	Family Practice
Experience	43 Years
Location	515 Hospital Dr, Shelbyville, Kentucky
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:

David W Wallace attended and graduated from University Of Louisville School Of Medicine in 1981

NPI Data:

NPI Number: 1376532168
Provider Enumeration Date: 10/14/2005
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 0244362275
Enrollment ID: I20100709000536

Medical Identifiers

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

Identifier	Type	State	Issuer
1376532168	NPI	-	NPPES
0100487	Other		UHC
P00872496	Other	KY	RR MEDICARE
000000048268	Other	KY	ANTHEM
64220544	Medicaid	KY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	22054 (Kentucky)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Jewish Hospital - Shelbyville	Shelbyville, KY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kentucky Orthopedic Rehabilitation Llc	0345157293	731
University Of Louisville Physicians Inc	3476725599	1111

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. David W Wallace allows following entities to bill medicare on his behalf.

Entity Name	University Of Louisville Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366722316 PECOS PAC ID: 3476725599 Enrollment ID: O20111017000036

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. David W 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
David W Wallace, MD MBA 100 E Liberty St Ste 800, Louisville, KY 40202-1428 Ph: (502) 633-3525	David W Wallace, MD MBA 515 Hospital Dr, Suite 1, Shelbyville, KY 40065-1640 Ph: (502) 633-3525

Reviews and Comments

Family Medicine Doctors in Shelbyville, KY

Dr. Ron E Creque Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Stonecrest Road, Suite 3, Shelbyville, KY 40065 Phone: 502-633-5565 Fax: 502-633-5154
Dr. Ronald E Waldridge Sr., MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 60 Mack Walters Rd, Shelbyville, KY 40065 Phone: 502-633-4622 Fax: 502-633-6925
Leticia Kathryn Allen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 60 Mack Walters Rd, Shelbyville, KY 40065 Phone: 502-633-4622 Fax: 502-633-6925
Dr. William J Jackson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 148 Midland Blvd, Shelbyville, KY 40065 Phone: 502-647-1958 Fax: 502-647-1940
James R Smith, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 515 Hospital Dr, Ste 1, Shelbyville, KY 40065 Phone: 502-633-3525 Fax: 502-633-8075
Dr. Jena Thomas Ruxer, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 727 Hospital Dr, Shelbyville, KY 40065 Phone: 502-647-4000

David W Wallace, MD MBA - Medicare Family Practice in Shelbyville, KY