Dr Matthew Malone Wallace, MD | |
9816 Mayland Dr Ste 100, Richmond, VA 23233-1457 | |
(804) 282-8510 | |
Not Available |
Full Name | Dr Matthew Malone Wallace |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 7 Years |
Location | 9816 Mayland Dr Ste 100, Richmond, Virginia |
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 |
---|---|---|---|
1255867784 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ND0101X | Dermatology - Mohs-micrographic Surgery | 0101274476 (Virginia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Richmond Dermatology Specialists | 5890736060 | 9 |
Entity Name | Richmond Dermatology Specialists |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508898420 PECOS PAC ID: 5890736060 Enrollment ID: O20050518000319 |
Mailing Address | Practice Location Address |
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Dr Matthew Malone Wallace, MD 9816 Mayland Dr Ste 100, Richmond, VA 23233-1457 Ph: () - | Dr Matthew Malone Wallace, MD 9816 Mayland Dr Ste 100, Richmond, VA 23233-1457 Ph: (804) 282-8510 |
Dr. Calvin Odell Mccall Jr., M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1201 Broad Rock Blvd, Dermatology/111l, Richmond, VA 23249 Phone: 804-675-5000 Fax: 804-675-5670 | |
Dr. Amanda Schmitt, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 6946 Forest Ave Ste 200, Richmond, VA 23230 Phone: 804-549-4040 Fax: 804-549-4032 | |
Suzanne K Peck, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 9816 Mayland Dr, Suite 100, Richmond, VA 23233 Phone: 804-282-8510 Fax: 804-285-5750 | |
Dr. Mohammed Dany, MD, PHD Dermatology Medicare: Medicare Enrolled Practice Location: 1001 E Leigh St, Richmond, VA 23298 Phone: 804-828-9361 Fax: 804-327-8114 | |
Dr. Brigitte Ullrich, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 8715 Higginbotham Pl, Richmond, VA 23229 Phone: 804-282-2727 | |
Galen H Fisher, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 7001 Forest Ave, Suite 301, Richmond, VA 23230 Phone: 804-855-0372 Fax: 804-612-8280 |