Debra J Wallace, MD | |
1284 Us Highway 60 W, Morganfield, KY 42437-6236 | |
(270) 389-2323 | |
(270) 389-0526 |
Full Name | Debra J Wallace |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 44 Years |
Location | 1284 Us Highway 60 W, Morganfield, Kentucky |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033186911 | NPI | - | NPPES |
64225519 | Medicaid | KY | |
50002853 | Medicaid | KY | |
000000259190 | Other | KY | ANTHEM BC & BS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 22551 (Kentucky) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Intrepid Usa Healthcare Services | Henderson, KY | Home health agency |
St Anthony's Hospice Inc | Henderson, KY | Hospice |
Methodist Hospital Union County | Morganfield, KY | Hospital |
Methodist Hospital | Henderson, KY | Hospital |
Deaconess Hospital Inc | Evansville, IN | Hospital |
Breckinridge Place | Morganfield, KY | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Deaconess Clinic Inc | 3375610116 | 343 |
Entity Name | Deaconess Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891941688 PECOS PAC ID: 3375610116 Enrollment ID: O20081017000259 |
Entity Name | Deaconess Union County Hospital, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003481201 PECOS PAC ID: 5799189866 Enrollment ID: O20210811002781 |
Mailing Address | Practice Location Address |
---|---|
Debra J Wallace, MD Po Box 1079, Henderson, KY 42419-1079 Ph: (270) 827-0353 | Debra J Wallace, MD 1284 Us Highway 60 W, Morganfield, KY 42437-6236 Ph: (270) 389-2323 |
William B Bebout, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 332 North Court Street, Morganfield, KY 42437 Phone: 270-997-4040 Fax: 833-214-0912 | |
William H Clapp, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1284 Us Highway 60 W, Morganfield, KY 42437 Phone: 270-389-2323 Fax: 270-389-0526 |