Erin Elizabeth Wallace, MD in Mansfield, TX

Erin Elizabeth Wallace, MD is a medicare enrolled "Pediatrics" physician in Mansfield, Texas. Her current practice location is 252 Matlock Rd Ste 330, Mansfield, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 557-5437.

Erin Elizabeth Wallace is licensed to practice in Texas (license number M9077) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1396952263.

Contact Information

	Erin Elizabeth Wallace, MD
	252 Matlock Rd Ste 330, Mansfield, TX 76063-4294
	(817) 557-5437
	(817) 539-0476

Map and Direction

Physician's Profile

Full Name	Erin Elizabeth Wallace
Gender	Female
Speciality	Pediatrics
Location	252 Matlock Rd Ste 330, Mansfield, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396952263
Provider Enumeration Date: 05/17/2007
Last Update Date: 11/04/2019

Medicare PECOS Information:

PECOS PAC ID: 0941376990
Enrollment ID: I20080827000697

Medical Identifiers

Medical identifiers for Erin Elizabeth Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396952263	NPI	-	NPPES
195476005	Medicaid	TX
197051902	Medicaid	TX
197051904	Medicaid	TX
084933301	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	M9077 (Texas)	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. Erin Elizabeth Wallace allows following entities to bill medicare on her behalf.

Entity Name	Medical Clinic Of North Texas, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033167234 PECOS PAC ID: 9830084540 Enrollment ID: O20040430001258

Entity Name	Dallas Physician Medical Services For Children Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194153650 PECOS PAC ID: 1759607906 Enrollment ID: O20150305000673

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. Erin Elizabeth 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
Erin Elizabeth Wallace, MD 252 Matlock Rd Ste 330, Mansfield, TX 76063-4294 Ph: (817) 557-5437	Erin Elizabeth Wallace, MD 252 Matlock Rd Ste 330, Mansfield, TX 76063-4294 Ph: (817) 557-5437

Reviews and Comments

Pediatrics Doctors in Mansfield, TX

Katrina L Willie-musoma, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2800 E Broad St Ste 100, Mansfield, TX 76063 Phone: 817-557-5437 Fax: 817-539-0476
Clive G Daniels, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 701 Matlock Rd, Mansfield, TX 76063 Phone: 817-453-5437 Fax: 817-453-2714
Dr. Naima Garrett, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1759 Broad Park Cir S Ste 201, Mansfield, TX 76063 Phone: 682-341-3910 Fax: 682-400-1288
Julie Hong, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1759 Broad Park Circle S, Suite 201 And 205, Mansfield, TX 76063 Phone: 682-341-3910 Fax: 682-400-1288
Matthew Raymond Lussier, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 701 Matlock Rd, Mansfield, TX 76063 Phone: 817-453-5437
Linda K Phan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 252 Matlock Rd Ste 300, Mansfield, TX 76063 Phone: 817-557-5473 Fax: 817-539-0476
Melvin T Joki, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 701 Matlock Rd, Mansfield, TX 76063 Phone: 817-453-5437 Fax: 817-453-2714

Erin Elizabeth Wallace, MD - Medicare Pediatrics in Mansfield, TX