Dr Erica Renee Wallace, DO - Medicare Family Practice in Greensboro, NC

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Dr Erica Renee Wallace, DO is a medicare enrolled "Family Medicine" physician in Greensboro, North Carolina. She went to Arizona College Of Osteopathic Medicine Mid Western University and graduated in 2009 and has 15 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Eagle Physicians And Associates Pa and her current practice location is 104 Pomona Dr, Greensboro, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 268-4100.

Dr Erica Renee Wallace is licensed to practice in North Carolina (license number 2012-00866) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1528293883.

Contact Information

Dr Erica Renee Wallace, DO
104 Pomona Dr,
Greensboro, NC 27407-1616
(336) 268-4100
(336) 268-3158

Map and Direction




Physician's Profile

Full NameDr Erica Renee Wallace
GenderFemale
SpecialityFamily Practice
Experience15 Years
Location104 Pomona Dr, Greensboro, North Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Erica Renee Wallace attended and graduated from Arizona College Of Osteopathic Medicine Mid Western University in 2009
  NPI Data:
  • NPI Number: 1528293883
  • Provider Enumeration Date: 05/15/2009
  • Last Update Date: 02/19/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7911163332
  • Enrollment ID: I20120730000205

Medical Identifiers

Medical identifiers for Dr Erica Renee Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528293883NPI-NPPES
NC7155AOtherNCMEDICARE PTAN
5920661MedicaidNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 2012-00866 (North Carolina)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Eagle Physicians And Associates Pa024413446893

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 Erica Renee Wallace allows following entities to bill medicare on her behalf.
Entity NameEagle Physicians And Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457436982
PECOS PAC ID: 0244134468
Enrollment ID: O20031120000436
Entity NamePrivate Diagnostic Clinic Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457389033
PECOS PAC ID: 1355254368
Enrollment ID: O20031204000577
Entity NameMoses Cone Medical Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427095249
PECOS PAC ID: 2769395458
Enrollment ID: O20040128000519
Entity NameMoses Cone Physician Services, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093953127
PECOS PAC ID: 4284782210
Enrollment ID: O20090501000202

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 Erica Renee 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 AddressPractice Location Address
Dr Erica Renee Wallace, DO
1234 Huffman Mill Rd,
Burlington, NC 27215-8700

Ph: (336) 538-1234		Dr Erica Renee Wallace, DO
104 Pomona Dr,
Greensboro, NC 27407-1616

Ph: (336) 268-4100

Reviews and Comments


Family Medicine Doctors in Greensboro, NC

Dayarmys Piloto De La Paz, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1903 Ashwood Ct, Suite A, Greensboro, NC 27455
Phone: 336-456-8188    
Dr. Graham Henry Erlacher Jr., M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1309 Lees Chapel Rd, Greensboro, NC 27455
Phone: 336-800-8958    Fax: 336-286-5583
Eve A Knapp, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1581 Yanceyville St, Greensboro, NC 27405
Phone: 336-275-6445    Fax: 336-275-3012
Simone Autry-lott,
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 301 E Wendover Ave Ste 300, Greensboro, NC 27401
Phone: 336-268-3380    
James S Kramer, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1130 N Church St, Suite 100, Greensboro, NC 27401
Phone: 336-375-2300    Fax: 336-275-2314
Dr. Robert Kenneth Beam, MD, PHD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6161 Lake Brandt Rd Unit B, Greensboro, NC 27455
Phone: 336-643-5800    Fax: 336-643-7474
Joel H Heller, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 603a Dolley Madison Rd, Greensboro, NC 27410
Phone: 336-294-6190    Fax: 336-294-6278

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.