Dr Thomas R Wallace, MD is a medicare enrolled "Ophthalmology" physician in Hot Springs, Arkansas. His current practice location is
211 Mcauley Ct, Hot Springs, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(501) 624-0609.
Dr Thomas R Wallace is licensed to practice in Arkansas (license number C4653) 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 1124021696.
Physician's Profile
Full Name | Dr Thomas R Wallace |
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Gender | Male |
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Speciality | Ophthalmology |
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Location | 211 Mcauley Ct, Hot Springs, Arkansas |
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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: 1124021696
- Provider Enumeration Date: 05/27/2005
- Last Update Date: 07/09/2007
Medicare PECOS Information:
- PECOS PAC ID: 5597742130
- Enrollment ID: I20100609000449
Medical Identifiers
Medical identifiers for Dr Thomas R Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124021696 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207W00000X | Ophthalmology | C4653 (Arkansas) | Primary |
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 Thomas R Wallace allows following entities to bill medicare on his behalf.
Entity Name | Holt Eye Clinic Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1437551421 PECOS PAC ID: 2567784572 Enrollment ID: O20141202001747 |
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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 Thomas R 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 Thomas R Wallace, MD 211 Mcauley Ct, Hot Springs, AR 71913-6314 Ph: (501) 624-0609 | Dr Thomas R Wallace, MD 211 Mcauley Ct, Hot Springs, AR 71913-6314 Ph: (501) 624-0609 |
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