Dr James Nicholas Wallace, MD | |
705 N 8th Ave, Suite 1a, Dillon, SC 29536-0000 | |
(843) 774-2478 | |
(843) 774-1826 |
Full Name | Dr James Nicholas Wallace |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 17 Years |
Location | 705 N 8th Ave, Dillon, South 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 |
---|---|---|---|
1265695126 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 30917 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mcleod Home Health Inc | Florence, SC | Home health agency |
Mcleod Medical Center - Dillon | Dillon, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mcleod Medical Center-dillon | 3476465311 | 18 |
Dillon Internal Medicine Associates Pa | 5991617995 | 8 |
Entity Name | Mcleod Medical Center-dillon |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720033988 PECOS PAC ID: 3476465311 Enrollment ID: O20031203000480 |
Entity Name | Dillon Internal Medicine Associates Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124115886 PECOS PAC ID: 5991617995 Enrollment ID: O20040607000923 |
Entity Name | Mcleod Loris Seacoast Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265708119 PECOS PAC ID: 9133394398 Enrollment ID: O20120710000230 |
Mailing Address | Practice Location Address |
---|---|
Dr James Nicholas Wallace, MD 705 N. 8th Ave, Suite 1a, Dillon, SC 29536-0000 Ph: (843) 774-2478 | Dr James Nicholas Wallace, MD 705 N 8th Ave, Suite 1a, Dillon, SC 29536-0000 Ph: (843) 774-2478 |
James P Wallace, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 705 N 8th Ave, Suite 1a, Dillon, SC 29536 Phone: 843-774-2478 Fax: 843-774-1826 | |
Dr. Alto Bernat Odin Jr., D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 705 N 8th Ave, Suite 1a, Dillon, SC 29536 Phone: 843-774-2478 Fax: 843-774-1826 | |
James J Kelly, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 705 N 8th Ave, Dillon, SC 29536 Phone: 843-774-2478 Fax: 843-774-1826 |