Dr Austin William Wallace, | |
1600 Sw Archer Rd, Gainesville, FL 32610-4144 | |
(352) 273-7002 | |
(352) 273-7388 |
Full Name | Dr Austin William Wallace |
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Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 1600 Sw Archer Rd, Gainesville, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063901023 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207XX0801X | Orthopaedic Surgery - Orthopaedic Trauma | ME163050 (Florida) | Secondary |
207X00000X | Orthopaedic Surgery | ME163050 (Florida) | Primary |
Entity Name | Florida Clinical Practice Association Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063463768 PECOS PAC ID: 0345146254 Enrollment ID: O20031211000099 |
Mailing Address | Practice Location Address |
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Dr Austin William Wallace, 3450 Hull Rd Rm 3341, Gainesville, FL 32607-4144 Ph: () - | Dr Austin William Wallace, 1600 Sw Archer Rd, Gainesville, FL 32610-4144 Ph: (352) 273-7002 |
Chancellor Folsom Gray, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 7540 W University Ave, Gainesville, FL 32607 Phone: 352-647-9700 Fax: 352-525-4902 | |
Dr. Michael Philip Silverstein, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4500 Newberry Rd, Gainesville, FL 32607 Phone: 352-336-6000 Fax: 407-643-2801 | |
Paul C. Dell, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-7374 Fax: 352-273-7388 | |
Dr. Robert Courtney Decker, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3450 Hull Road, Rm 3341, Uf Orthopaedics And Sports Med Institute, Gainesville, FL 32607 Phone: 352-273-7001 Fax: 352-273-7388 | |
Donald T Trimble, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4500 W Newberry Rd, Gainesville, FL 32607 Phone: 352-336-6000 Fax: 352-336-6008 | |
James B Slattery, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 4500 W Newberry Rd, Gainesville, FL 32607 Phone: 352-336-6000 Fax: 352-332-0799 | |
Dr. Matthew W Crozier, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3450 Hull Rd Ste 3301, Gainesville, FL 32607 Phone: 352-273-7394 |