Dr Robert D Wallace, MD in Memphis, TN - Medicare Plastic And Reconstructive Surgery

Dr Robert D Wallace, MD is a medicare enrolled "Surgery - Plastic And Reconstructive Surgery" physician in Memphis, Tennessee. He went to Jefferson Medical College Of Thomas Jefferson University and graduated in 1984 and has 40 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. He is a member of the group practice Wallace Plastic Surgery Group, Pllc and his current practice location is 1068 Cresthaven Rd Ste 500, Memphis, Tennessee. You can reach out to his office (for appointments etc.) via phone at (901) 866-8525.

Dr Robert D Wallace is licensed to practice in Tennessee (license number 27658) 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 1023075637.

Contact Information

	Dr Robert D Wallace, MD
	1068 Cresthaven Rd Ste 500, Memphis, TN 38119
	(901) 866-8525
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Robert D Wallace
Gender	Male
Speciality	Plastic And Reconstructive Surgery
Experience	40 Years
Location	1068 Cresthaven Rd Ste 500, Memphis, Tennessee
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 Robert D Wallace attended and graduated from Jefferson Medical College Of Thomas Jefferson University in 1984

NPI Data:

NPI Number: 1023075637
Provider Enumeration Date: 04/27/2006
Last Update Date: 02/01/2019

Medicare PECOS Information:

PECOS PAC ID: 6608068234
Enrollment ID: I20101014000191

Medical Identifiers

Medical identifiers for Dr Robert D Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023075637	NPI	-	NPPES
130322001	Medicaid	AR
00118676	Medicaid	MS
3804973	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0122X	Surgery - Plastic And Reconstructive Surgery	27658 (Tennessee)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wallace Plastic Surgery Group, Pllc	0749664076	2

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 Robert D Wallace allows following entities to bill medicare on his behalf.

Entity Name	Ut Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780676650 PECOS PAC ID: 3173435369 Enrollment ID: O20031105000384

Entity Name	St Jude Childrens Research Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306335088 PECOS PAC ID: 7315133444 Enrollment ID: O20180821000139

Entity Name	Wallace Plastic Surgery Group, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497473557 PECOS PAC ID: 0749664076 Enrollment ID: O20220905000477

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 Robert D 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 Robert D Wallace, MD 1407 Union Ave Ste 700, Memphis, TN 38104-3641 Ph: (901) 866-8622	Dr Robert D Wallace, MD 1068 Cresthaven Rd Ste 500, Memphis, TN 38119 Ph: (901) 866-8525

Reviews and Comments

Surgery Doctors in Memphis, TN

Leonard Harvey Hines, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 6005 Park Ave, Suite 821-b, Memphis, TN 38119 Phone: 901-726-1056 Fax: 901-726-5867
William Leslie Hickerson, MD Surgery Medicare: Medicare Enrolled Practice Location: 890 Madison Ave, Suite Tg032, Memphis, TN 38103 Phone: 901-448-2579 Fax: 901-448-2602
Dr. Albert Joseph Grobmyer Iii, Surgery Medicare: Not Enrolled in Medicare Practice Location: 3175 Lenox Park Blvd, Suite 309, Memphis, TN 38115 Phone: 901-273-2600 Fax: 901-761-3786
Dr. Dan Huff Shell Iii, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1068 Cresthaven Rd Ste 200, Memphis, TN 38119 Phone: 901-761-4844 Fax: 901-761-6929
Randall William Franz, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1325 Eastmoreland Ave Ste 365, Memphis, TN 38104 Phone: 901-272-6018 Fax: 901-201-4203
Dr. Christine T Mroz, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 6005 Park, #700, Memphis, TN 38119 Phone: 901-527-3391 Fax: 901-578-3969

Dr Robert D Wallace, MD - Medicare Plastic And Reconstructive Surgery in Memphis, TN