Dr Bradley A Wallace, MD in Jacksonville, FL

Dr Bradley A Wallace, MD is a medicare enrolled "Neurological Surgery" physician in Jacksonville, Florida. He went to University Of Arkansas College Of Medicine and graduated in 1998 and has 26 years of diverse experience with area of expertise as Neurosurgery. He is a member of the group practice Lyerly Baptist Inc and his current practice location is 800 Prudential Dr, Tower B, 11th Floor, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 388-6518.

Dr Bradley A Wallace is licensed to practice in Florida (license number ME91779) 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 1134160161.

Contact Information

	Dr Bradley A Wallace, MD
	800 Prudential Dr, Tower B, 11th Floor, Jacksonville, FL 32207-8202
	(904) 388-6518
	(904) 384-1005

Map and Direction

Physician's Profile

Full Name	Dr Bradley A Wallace
Gender	Male
Speciality	Neurosurgery
Experience	26 Years
Location	800 Prudential Dr, Jacksonville, Florida
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:

Dr Bradley A Wallace attended and graduated from University Of Arkansas College Of Medicine in 1998

NPI Data:

NPI Number: 1134160161
Provider Enumeration Date: 06/09/2006
Last Update Date: 06/09/2016

Medicare PECOS Information:

PECOS PAC ID: 9436155009
Enrollment ID: I20061005000183

Medical Identifiers

Medical identifiers for Dr Bradley A Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134160161	NPI	-	NPPES
2744978500	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207T00000X	Neurological Surgery	ME91779 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Florida First Care Inc	Orange park, FL	Home health agency
Baptist Health Medical Center - Jacksonville	Jacksonville, FL	Hospital
Baptist Medical Center Beaches	Jacksonville beach, FL	Hospital
Baptist Medical Center - Nassau	Fernandina beach, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lyerly Baptist Inc	9830112226	40

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. Dr Bradley A Wallace allows following entities to bill medicare on his behalf.

Entity Name	Lyerly Baptist Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851347801 PECOS PAC ID: 9830112226 Enrollment ID: O20060111001171

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. Dr Bradley A 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
Dr Bradley A Wallace, MD 800 Prudential Dr, Tower B, 11th Floor, Jacksonville, FL 32207-8202 Ph: (904) 388-6518	Dr Bradley A Wallace, MD 800 Prudential Dr, Tower B, 11th Floor, Jacksonville, FL 32207-8202 Ph: (904) 388-6518

Reviews and Comments

Neurological Surgery Doctors in Jacksonville, FL

Dr. Dunbar Alcindor, M.D Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 580 W 8th St, Tower 1 -8th Floor, Jacksonville, FL 32209 Phone: 904-244-9052
Clarence Watridge, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Hector Edward James, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 836 Prudential Dr, Ufjp Neurosurgery - Pediatrics, Jacksonville, FL 32207 Phone: 904-398-5201 Fax: 904-244-3425
Carlos Perez Vega, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Dr. Bernard H. Guiot, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 14810 Old Saint Augustine Rd Ste 207, Jacksonville, FL 32258 Phone: 904-217-7450 Fax: 904-217-7483
Rachel Stein, DO Neurological Surgery Medicare: Medicare Enrolled Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Dr. Amos Olabisi Dare, M.D. Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 544 Cesery Blvd, Suite 310, Jacksonville, FL 32211 Phone: 904-743-9222 Fax: 904-743-9225

Dr Bradley A Wallace, MD - Medicare Neurosurgery in Jacksonville, FL