Dr Paul R Wallace, MD in Clearwater, FL - Medicare Family Medicine

Dr Paul R Wallace, MD is a medicare enrolled "Family Medicine" physician in Clearwater, Florida. His current practice location is 855 S Highland Ave, Clearwater, Florida. You can reach out to his office (for appointments etc.) via phone at (727) 219-1833.

Dr Paul R Wallace is licensed to practice in Florida (license number ME69904) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1306875869.

Contact Information

	Dr Paul R Wallace, MD
	855 S Highland Ave, Clearwater, FL 33756-4446
	(727) 219-1833
	(727) 330-2908

Map and Direction

Physician's Profile

Full Name	Dr Paul R Wallace
Gender	Male
Speciality	Family Medicine
Location	855 S Highland Ave, Clearwater, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306875869
Provider Enumeration Date: 06/30/2006
Last Update Date: 02/17/2022

Medicare PECOS Information:

PECOS PAC ID: 5991835944
Enrollment ID: I20100617000565

Medical Identifiers

Medical identifiers for Dr Paul R Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306875869	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	ME69904 (Florida)	Primary

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 Paul R Wallace allows following entities to bill medicare on his behalf.

Entity Name	Dedicated Senior Medical Center Of Florida, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881055366 PECOS PAC ID: 4486932100 Enrollment ID: O20161101001703

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 Paul R 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 Address	Practice Location Address
Dr Paul R Wallace, MD 1301 2nd Ave Sw, Largo, FL 33770-3120 Ph: (727) 584-7706	Dr Paul R Wallace, MD 855 S Highland Ave, Clearwater, FL 33756-4446 Ph: (727) 219-1833

Reviews and Comments

Family Medicine Doctors in Clearwater, FL

Pranav Reddy, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 100 S Belcher Rd, Clearwater, FL 33765 Phone: 727-678-5577 Fax: 727-399-6866
Dr. Anne-marie Cathy Johnrose-brown, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 4520 E Bay Dr, Clearwater, FL 33764 Phone: 727-615-3032
Dr. Mohammad Hossein Gharavi, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 51 S Main Ave, Suite 318, Clearwater, FL 33765 Phone: 727-572-6261 Fax: 727-443-2501
Dr. Walter J Kay, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2724 Park Dr, Clearwater, FL 33763 Phone: 727-796-2444 Fax: 727-796-7653
Anthony Ngo, D.O Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2086 Gulf To Bay Blvd, Clearwater, FL 33765 Phone: 727-462-0100 Fax: 727-462-0177
Dr. Ralph A Rophie, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1013 Lotus Path, Clearwater, FL 33756 Phone: 727-449-9595
Dr. Fred H Brennan Jr., DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 807 N Myrtle Ave, Clearwater, FL 33755 Phone: 727-467-2400 Fax: 727-467-2477

Dr Paul R Wallace, MD - Medicare Family Medicine in Clearwater, FL