Dr Eric D Wallisa, MD in Indianapolis, IN

Dr Eric D Wallisa, MD is a medicare enrolled "Family Medicine" physician in Indianapolis, Indiana. His current practice location is 5955 S Emerson Ave, 100, Indianapolis, Indiana. You can reach out to his office (for appointments etc.) via phone at (317) 789-9600.

Dr Eric D Wallisa is licensed to practice in Indiana (license number 01054688A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1255309720.

Contact Information

	Dr Eric D Wallisa, MD
	5955 S Emerson Ave, 100, Indianapolis, IN 46237-2525
	(317) 789-9600
	(317) 789-0600

Map and Direction

Physician's Profile

Full Name	Dr Eric D Wallisa
Gender	Male
Speciality	Family Medicine
Location	5955 S Emerson Ave, Indianapolis, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255309720
Provider Enumeration Date: 03/10/2006
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 9436128741
Enrollment ID: I20041001000847

Medical Identifiers

Medical identifiers for Dr Eric D Wallisa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255309720	NPI	-	NPPES
01054688A	Other	IN	STATE MEDICAL LICENSE
01054688B	Other	IN	STATE CSR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	01054688A (Indiana)	Primary

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 Eric D Wallisa allows following entities to bill medicare on his behalf.

Entity Name	Medexpress Urgent Care Pc Indiana
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609114578 PECOS PAC ID: 8325286834 Enrollment ID: O20130522000565

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 Eric D Wallisa 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 Eric D Wallisa, MD 5955 S Emerson Ave, 100, Indianapolis, IN 46237-2525 Ph: (317) 789-9600	Dr Eric D Wallisa, MD 5955 S Emerson Ave, 100, Indianapolis, IN 46237-2525 Ph: (317) 789-9600

Reviews and Comments

Family Medicine Doctors in Indianapolis, IN

Leigha Marie Murphy, NP Family Medicine Medicare: Medicare Enrolled Practice Location: 8904 Bash St Ste B, Indianapolis, IN 46256 Phone: 317-735-6001 Fax: 855-450-1177
Donald H Lauer, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1250 E County Line Rd, Suite 9, Indianapolis, IN 46227 Phone: 317-881-9797 Fax: 317-881-4156
Robert Kiess Newton, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9560 E 59th St, Indianapolis, IN 46216 Phone: 317-621-1700 Fax: 317-621-1711
Dr. Bernard M Herbst, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5839 E Washington St, Indianapolis, IN 46219 Phone: 317-353-9777 Fax: 317-357-6922
Teresa Trierweiler, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4880 Century Plaza Rd, Suite 200, Indianapolis, IN 46254 Phone: 317-293-4113 Fax: 317-290-2542
Dr. Phumeza Msikinya, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8920 Southpointe Dr Ste B, Indianapolis, IN 46227 Phone: 317-497-1900
Ruben Hernan Hernandez Mondragon, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1040 Wishard Blvd, Indianapolis, IN 46202 Phone: 317-962-8893 Fax: 317-962-2990

Dr Eric D Wallisa, MD - Medicare Family Medicine in Indianapolis, IN