Dr Richard Peterkin Wallace, MD in Clearwater, FL

Dr Richard Peterkin Wallace, MD is a medicare enrolled "Family Medicine" physician in Clearwater, Florida. He went to Meharry Medical College School Of Medicine and graduated in 2000 and has 24 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Bayside Urgent Care Center Inc. and his current practice location is 1001 S Fort Harrison Ave, Suite 101, Clearwater, Florida. You can reach out to his office (for appointments etc.) via phone at (727) 441-5044.

Dr Richard Peterkin Wallace is licensed to practice in Florida (license number ME85690) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1275586448.

Contact Information

	Dr Richard Peterkin Wallace, MD
	1001 S Fort Harrison Ave, Suite 101, Clearwater, FL 33756-3941
	(727) 441-5044
	(727) 441-5008

Map and Direction

Physician's Profile

Full Name	Dr Richard Peterkin Wallace
Gender	Male
Speciality	Family Practice
Experience	24 Years
Location	1001 S Fort Harrison Ave, Clearwater, Florida
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Richard Peterkin Wallace attended and graduated from Meharry Medical College School Of Medicine in 2000

NPI Data:

NPI Number: 1275586448
Provider Enumeration Date: 05/18/2006
Last Update Date: 09/27/2016

Medicare PECOS Information:

PECOS PAC ID: 2062315575
Enrollment ID: I20040131000044

Medical Identifiers

Medical identifiers for Dr Richard Peterkin Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275586448	NPI	-	NPPES
P00294408	Other	FL	RAILROAD MEDICARE NUMBER
270183900	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	ME85690 (Florida)	Primary
207QS0010X	Family Medicine - Sports Medicine	ME85690 (Florida)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Bayside Urgent Care Center Inc.	3375700180	7

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 Richard Peterkin Wallace allows following entities to bill medicare on his behalf.

Entity Name	Bayside Urgent Care Center Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619257755 PECOS PAC ID: 3375700180 Enrollment ID: O20120207000314

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 Richard Peterkin 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 Richard Peterkin Wallace, MD 1001 S Fort Harrison Ave, Suite 101, Clearwater, FL 33756-3905 Ph: (727) 441-5044	Dr Richard Peterkin Wallace, MD 1001 S Fort Harrison Ave, Suite 101, Clearwater, FL 33756-3941 Ph: (727) 441-5044

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 Richard Peterkin Wallace, MD - Medicare Family Practice in Clearwater, FL