Dr Douglas Charles Wallace, MD - Thoracic Surgery (Cardiothoracic Vascular Surgery) in Lafayette, IN

Dr Douglas Charles Wallace, MD is a Thoracic Surgery (cardiothoracic Vascular Surgery) physician based in Lafayette, Indiana. Dr Douglas Charles Wallace is licensed to practice in Indiana (license number 01071946A) and his current practice location is 3900 St Francis Way, Ste 201, Lafayette, Indiana. He can be reached at his office (for appointments etc.) via phone at (765) 446-7981.

NPI number for Dr Douglas Charles Wallace is 1851470033 and his current mailing address is 3900 St Francis Way, Ste 201, Lafayette, Indiana. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1851470033.

Contact Information

Dr Douglas Charles Wallace, MD
3900 St Francis Way, Ste 201,
Lafayette, IN 47905-4923
(765) 446-7981
(765) 446-7982

Map and Direction




Physician's Profile

Full NameDr Douglas Charles Wallace
GenderMale
SpecialityThoracic Surgery (cardiothoracic Vascular Surgery)
Location3900 St Francis Way, Lafayette, Indiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1851470033
  • Provider Enumeration Date: 11/06/2006
  • Last Update Date: 12/19/2012

Medical Identifiers

Medical identifiers for Dr Douglas Charles Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851470033NPI-NPPES
036112410MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) G66727 (California)Secondary
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) 036-101410 (Illinois)Secondary
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) 01071946A (Indiana)Primary

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 Douglas Charles Wallace is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Douglas Charles Wallace, MD
3900 St Francis Way, Ste 201,
Lafayette, IN 47905-4923

Ph: (765) 446-7981
Dr Douglas Charles Wallace, MD
3900 St Francis Way, Ste 201,
Lafayette, IN 47905-4923

Ph: (765) 446-7981

Reviews and Comments


Thoracic Surgery (Cardiothoracic Vascular Surgery) Doctors in Lafayette, IN

Dr. Hartmuth Bruno Bittner, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 3900 St Francis Way Ste 200, Lafayette, IN 47905
Phone: 765-775-2800    
Dr. Michael Jay Scott Sheridan, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Medicare Enrolled
Practice Location: 1116 N 16th St Ste A, Lafayette, IN 47904
Phone: 765-448-8000    Fax: 765-448-8807
Dr. Thomas X Aufiero, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Not Enrolled in Medicare
Practice Location: 1176 N. 16th Street, Lafayette, IN 47904
Phone: 765-448-8000    Fax: 765-448-8085
Dr. Kok H Lim, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 5177 Mccarty Ln, Lafayette, IN 47905
Phone: 317-923-1787    Fax: 317-962-0853
Kenneth Samuel Stone, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Not Enrolled in Medicare
Practice Location: 1116 N 16th St, Suite A, Lafayette, IN 47904
Phone: 765-448-8000    Fax: 765-448-8054

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