Dr Robert Bruce Wallace Iii, MD | |
4110 Parliament Dr, Alexandria, LA 71303-2717 | |
(318) 448-4488 | |
(318) 448-9731 |
Full Name | Dr Robert Bruce Wallace Iii |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Experience | 54 Years |
Location | 4110 Parliament Dr, Alexandria, Louisiana |
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 |
---|---|---|---|
1598792293 | NPI | - | NPPES |
1191710 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 012846 (Louisiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wallace Eye Surgery, Ltd | 0042240210 | 4 |
Entity Name | Wallace Eye Surgery, Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679511679 PECOS PAC ID: 0042240210 Enrollment ID: O20050817000469 |
Mailing Address | Practice Location Address |
---|---|
Dr Robert Bruce Wallace Iii, MD 4110 Parliament Dr, Alexandria, LA 71303-2717 Ph: (318) 448-4488 | Dr Robert Bruce Wallace Iii, MD 4110 Parliament Dr, Alexandria, LA 71303-2717 Ph: (318) 448-4488 |
Bernard E Patty, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 231 Windermere Blvd, Alexandria, LA 71303 Phone: 318-487-2020 Fax: 318-445-7745 | |
Dr. Lisso Nachman, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 4315 Willowick Blvd, Alexandria, LA 71303 Phone: 318-443-5879 | |
Dr. Gerald James Guidry, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1420 Peterman Dr, Alexandria, LA 71301 Phone: 318-487-9816 Fax: 318-448-9731 | |
Kenneth Ray Harper, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: Va Medical Center, 2495 Shreveport Highway, Alexandria, LA 71306 Phone: 318-473-0010 Fax: 318-483-5117 | |
Dr. Patrick Redmond, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 231 Windermere Blvd, Alexandria, LA 71303 Phone: 318-487-2020 Fax: 318-445-7455 | |
Dr. Eric Reish, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 231 Windermere Blvd, Alexandria, LA 71303 Phone: 318-487-2020 Fax: 318-445-7745 |