Dr Ryan Myles Wallace, in New Haven, CT

Dr Ryan Myles Wallace, is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in New Haven, Connecticut. He went to University Of Washington School Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Providence Health And Services- Washington, Providence Health And Services Washington and his current practice location is 55 Lock St, New Haven, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 432-0290.

Dr Ryan Myles Wallace is licensed to practice in Connecticut (license number 55490) 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 1548695075.

Contact Information

	Dr Ryan Myles Wallace,
	55 Lock St, New Haven, CT 06511
	(203) 432-0290
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Ryan Myles Wallace
Gender	Male
Speciality	Psychiatry
Experience	10 Years
Location	55 Lock St, New Haven, Connecticut
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 Ryan Myles Wallace attended and graduated from University Of Washington School Of Medicine in 2014

NPI Data:

NPI Number: 1548695075
Provider Enumeration Date: 09/03/2013
Last Update Date: 03/04/2021

Medicare PECOS Information:

PECOS PAC ID: 2769703552
Enrollment ID: I20200917000602

Medical Identifiers

Medical identifiers for Dr Ryan Myles Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548695075	NPI	-	NPPES
008056168	Medicaid	CT
008076123	Medicaid	CT
500000315	Medicaid	CT
004082286	Medicaid	CT
008022626	Medicaid	CT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084N0400X	Psychiatry & Neurology - Neurology	55490 (Connecticut)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	55490 (Connecticut)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Providence Alaska Medical Center	Anchorage, AK	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Health And Services- Washington	1557408176	149
Providence Health And Services Washington	2163335746	30

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 Ryan Myles Wallace allows following entities to bill medicare on his behalf.

Entity Name	Providence Health & Services Washington
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467547265 PECOS PAC ID: 2163335746 Enrollment ID: O20031110000525

Entity Name	Providence Health & Services- Washington
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093956278 PECOS PAC ID: 1557408176 Enrollment ID: O20091029000679

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 Ryan Myles 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 Ryan Myles Wallace, 1 Long Wharf Dr Ste 321, New Haven, CT 06511-5946 Ph: (203) 781-4600	Dr Ryan Myles Wallace, 55 Lock St, New Haven, CT 06511 Ph: (203) 432-0290

Reviews and Comments

Psychiatry & Neurology Doctors in New Haven, CT

Sharon Hasbani, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 136 Sherman Ave, New Haven, CT 06511 Phone: 203-562-8071
Dr. Jennifer Buenzle Dwyer, M.D., PH.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 20 York St # T-209, Yale-new Haven Hospital, New Haven, CT 06510 Phone: 203-433-2788 Fax: 203-688-5599
Neeharika Thottempudi, MBBS Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 20 York St, New Haven, CT 06510 Phone: 203-688-4242
Dr. Sean Michael Pennetti, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 20 York St, New Haven, CT 06510 Phone: 203-688-4242
Dr. Nancy Dian Olson, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 47 Trumbull St, New Haven, CT 06510 Phone: 203-785-1898 Fax: 203-281-3707
George J. Watstein, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 100 York St, Suite 2 A, New Haven, CT 06511 Phone: 203-624-6431 Fax: 203-624-6452
Dr. Sidney Hornor Phillips, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 234 Church St, Suite #300, New Haven, CT 06510 Phone: 203-865-8246

Dr Ryan Myles Wallace, - Medicare Psychiatry in New Haven, CT