Dr Eric Lee Wallace, MD | |
1450 Matthews Township Pkwy Ste 250, Matthews, NC 28105-5331 | |
(704) 841-1444 | |
(704) 849-2520 |
Full Name | Dr Eric Lee Wallace |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 23 Years |
Location | 1450 Matthews Township Pkwy Ste 250, Matthews, North 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780614529 | NPI | - | NPPES |
5904040 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 2006-00806 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Novant Health Matthews Medical Center | Matthews, NC | Hospital |
Gritman Medical Center | Moscow, ID | Hospital |
Novant Health Presbyterian Medical Center | Charlotte, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Surgical Specialists Of Charlotte Pa | 3779519285 | 33 |
Entity Name | Surgical Specialists Of Charlotte Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073599734 PECOS PAC ID: 3779519285 Enrollment ID: O20050714001059 |
Mailing Address | Practice Location Address |
---|---|
Dr Eric Lee Wallace, MD Po Box 33369, Charlotte, NC 28233-3369 Ph: (704) 364-8100 | Dr Eric Lee Wallace, MD 1450 Matthews Township Pkwy Ste 250, Matthews, NC 28105-5331 Ph: (704) 841-1444 |
Ms. Iyore Amy-otabor James, M.D Surgery Medicare: Accepting Medicare Assignments Practice Location: 1450 Matthews Township Pkwy Ste 250, Matthews, NC 28105 Phone: 704-841-1444 | |
Jeffrey Andrew Bohn, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1450 Matthews Township Pkwy, Suite360, Matthews, NC 28105 Phone: 704-841-1444 Fax: 704-849-2520 | |
Natalie Nowak, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1450 Matthews Township Pkwy Ste 250, Matthews, NC 28105 Phone: 704-841-1444 Fax: 704-849-2520 | |
Christie Marianne Hirsch-reilly, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1450 Matthews Township Pkwy Ste 250, Matthews, NC 28105 Phone: 704-841-1444 Fax: 704-849-2520 | |
Anna Blair Johnson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1450 Matthews Township Pkwy Ste 230, Matthews, NC 28105 Phone: 704-384-8615 Fax: 704-384-6792 | |
Cabrini L. Sutherland, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1450 Matthews Township Pkwy Ste 250, Matthews, NC 28105 Phone: 704-841-1444 |