Dr Robert Steven Wallis, MD is a medicare enrolled "Internal Medicine - Infectious Disease" physician in Old Lyme, Connecticut. His current practice location is
55 Saunders Hollow Rd, Old Lyme, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(860) 598-9160.
Dr Robert Steven Wallis is licensed to practice in Connecticut (license number 49370) 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 1154555738.
Physician's Profile
Full Name | Dr Robert Steven Wallis |
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Gender | Male |
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Speciality | Internal Medicine - Infectious Disease |
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Location | 55 Saunders Hollow Rd, Old Lyme, Connecticut |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1154555738
- Provider Enumeration Date: 05/11/2009
- Last Update Date: 08/10/2021
Medicare PECOS Information:
- PECOS PAC ID: 2466751342
- Enrollment ID: I20160427000933
Medical Identifiers
Medical identifiers for Dr Robert Steven Wallis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154555738 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207RI0200X | Internal Medicine - Infectious Disease | MD037184 (District Of Columbia) | Secondary |
207RI0200X | Internal Medicine - Infectious Disease | 25MA07059900 (New Jersey) | Secondary |
207RI0200X | Internal Medicine - Infectious Disease | 49370 (Connecticut) | Primary |
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 Steven Wallis 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 Steven Wallis, MD 55 Saunders Hollow Rd, Old Lyme, CT 06371-1127 Ph: (860) 598-9160 | Dr Robert Steven Wallis, MD 55 Saunders Hollow Rd, Old Lyme, CT 06371-1127 Ph: (860) 598-9160 |
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