Dr Mikaela Wallace, MD | |
7301 Milwaukee Ave, Lubbock, TX 79424-0626 | |
(806) 761-0464 | |
(806) 698-6710 |
Full Name | Dr Mikaela Wallace |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 3 Years |
Location | 7301 Milwaukee Ave, Lubbock, Texas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992298467 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | T2287 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Medical Center | Lubbock, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Umc Physicians | 9830003631 | 111 |
Entity Name | Umc Physicians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669418547 PECOS PAC ID: 9830003631 Enrollment ID: O20040406001716 |
Entity Name | Methodist Hospital Levelland |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043328222 PECOS PAC ID: 8527041037 Enrollment ID: O20040607001572 |
Mailing Address | Practice Location Address |
---|---|
Dr Mikaela Wallace, MD 5219 City Bank Pkwy Ste 35, Lubbock, TX 79407-3545 Ph: (806) 761-0334 | Dr Mikaela Wallace, MD 7301 Milwaukee Ave, Lubbock, TX 79424-0626 Ph: (806) 761-0464 |
Charles Hudson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: Concord Medical Group, 1602 Avenue Q, Lubbock, TX 79401 Phone: 972-829-6613 Fax: 800-611-5029 | |
Dr. Ronald L. Cook, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3502 9th St, Suite 1c143, Lubbock, TX 79430 Phone: 806-743-2757 Fax: 806-743-2563 | |
Naticia Mortensen, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5915 82nd St, Lubbock, TX 79424 Phone: 806-794-3000 Fax: 806-698-0847 | |
Dr. Cherrylene A Lindgren, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4105 I-27, Lubbock, TX 79404 Phone: 806-762-2633 Fax: 806-761-0431 | |
Jared Zachary Brinker, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4515 Marsha Sharp Fwy, Lubbock, TX 79407 Phone: 806-744-7223 Fax: 806-740-3325 | |
Kelly A. Bennett, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3601 4th St, Lubbock, TX 79430 Phone: 806-743-2757 Fax: 806-743-2563 | |
Dr. Charles Paul Willnauer, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3601 4th St, Stop 8143, Lubbock, TX 79430 Phone: 806-743-2757 |