Douglass Michael Wallace, MD in Greenville, SC

Douglass Michael Wallace, MD is a medicare enrolled "Emergency Medicine" physician in Greenville, South Carolina. He went to Wake Forest University School Of Medicine and graduated in 2001 and has 23 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Prisma Health University Medical Group and his current practice location is 701 Grove Rd Fl 1, Greenville, South Carolina. You can reach out to his office (for appointments etc.) via phone at (864) 455-7899.

Douglass Michael Wallace is licensed to practice in South Carolina (license number 26820) 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 1881657989.

Contact Information

	Douglass Michael Wallace, MD
	701 Grove Rd Fl 1, Greenville, SC 29605-4210
	(864) 455-7899
	(864) 455-5474

Map and Direction

Physician's Profile

Full Name	Douglass Michael Wallace
Gender	Male
Speciality	Emergency Medicine
Experience	23 Years
Location	701 Grove Rd Fl 1, Greenville, South Carolina
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:

Douglass Michael Wallace attended and graduated from Wake Forest University School Of Medicine in 2001

NPI Data:

NPI Number: 1881657989
Provider Enumeration Date: 04/10/2006
Last Update Date: 10/11/2022

Medicare PECOS Information:

PECOS PAC ID: 5799674164
Enrollment ID: I20041026000190

Medical Identifiers

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

Identifier	Type	State	Issuer
1881657989	NPI	-	NPPES
1354R	Other	NC	BCBS
Q01075	Medicaid	SC
891354R	Medicaid	NC
P01034006	Other	SC	RAILROAD MEDICARE
P00282526	Other	NC	RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	200301073 (North Carolina)	Secondary
207P00000X	Emergency Medicine	26820 (South Carolina)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Prisma Health University Medical Group	8325950983	2206

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. Douglass Michael Wallace allows following entities to bill medicare on his behalf.

Entity Name	Prisma Health University Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238

Entity Name	Greenville Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568532513 PECOS PAC ID: 8123938131 Enrollment ID: O20031212000723

Entity Name	Spartanburg Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699729939 PECOS PAC ID: 3072425297 Enrollment ID: O20040702000686

Entity Name	Pelham Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619133568 PECOS PAC ID: 2365519097 Enrollment ID: O20080923000329

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. Douglass Michael 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
Douglass Michael Wallace, MD 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: () -	Douglass Michael Wallace, MD 701 Grove Rd Fl 1, Greenville, SC 29605-4210 Ph: (864) 455-7899

Reviews and Comments

Emergency Medicine Doctors in Greenville, SC

Dr. Amber Gist Laney, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Rd Fl 1, Greenville, SC 29605 Phone: 864-455-7899 Fax: 864-455-5474
Dr. Brent Alexander Oldham, MD, MPH Emergency Medicine Medicare: Medicare Enrolled Practice Location: 701 Grove Rd Fl 1, Greenville, SC 29605 Phone: 864-455-7899 Fax: 864-455-5474
Matthew Lewis Mullins, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 701 Grove Rd Fl 1, Greenville, SC 29605 Phone: 864-455-7899 Fax: 864-455-5474
Christopher Steven Vega, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-6371
Dr. Ronald Gerard Pirrallo, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Rd Fl 1, Greenville, SC 29605 Phone: 864-455-7899 Fax: 864-455-5474
Dr. Frank J Ferlisi, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-7157
Dr. Kevin John Gregg, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Rd, Department Of Emergency Medicine, Greenville, SC 29605 Phone: 864-455-7157

Douglass Michael Wallace, MD - Medicare Emergency Medicine in Greenville, SC