John Thomas Wallace, - Medicare Radiology in Temple, TX

  1. Home
  2. Radiology
  3. TX
  4. Temple
John Thomas Wallace, is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Temple, Texas. His current practice location is 2401 S 31st St, Temple, Texas. You can reach out to his office (for appointments etc.) via phone at (254) 724-2111.

John Thomas Wallace is licensed to practice in Texas (license number V3136) 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 1376030825.

Contact Information

John Thomas Wallace,
2401 S 31st St,
Temple, TX 76508-0001
(254) 724-2111
Not Available

Map and Direction




Physician's Profile

Full NameJohn Thomas Wallace
GenderMale
SpecialityRadiology - Diagnostic Radiology
Location2401 S 31st St, Temple, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1376030825
  • Provider Enumeration Date: 04/19/2018
  • Last Update Date: 09/23/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1355696857
  • Enrollment ID: I20230907001405

Medical Identifiers

Medical identifiers for John Thomas Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376030825NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine MED-RES-LIC-67472 (Montana)Secondary
2085R0202XRadiology - Diagnostic Radiology 69345 (Arizona)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
2085R0202XRadiology - Diagnostic Radiology V3136 (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. John Thomas Wallace allows following entities to bill medicare on his behalf.
Entity NameSjhmc Physician Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326098005
PECOS PAC ID: 4486646197
Enrollment ID: O20040401001189
Entity NameSmi Imaging Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972004489
PECOS PAC ID: 3476696220
Enrollment ID: O20180829003142

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. John Thomas 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 AddressPractice Location Address
John Thomas Wallace,
Po Box 844658,
Dallas, TX 75284-4658

Ph: (800) 994-0371		John Thomas Wallace,
2401 S 31st St,
Temple, TX 76508-0001

Ph: (254) 724-2111

Reviews and Comments


Radiology Doctors in Temple, TX

Dr. Mehul Kirit Patel, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 2401 S 31st St, Temple, TX 76508
Phone: 248-797-3593    
Dr. Krista Lynn Birkemeier, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 2401 S 31st St, Temple, TX 76508
Phone: 254-724-2111    
Christina Jeong, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 2401 S 31st St, Temple, TX 76508
Phone: 254-724-2111    
Robert Edward Smith,
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 2401 S 31st St, Temple, TX 76508
Phone: 254-724-2111    
Clint Gerdes, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 2401 S 31st St, Temple, TX 76508
Phone: 254-724-2111    
Dr. Connie Carmen So, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 2401 S 31st St, Temple, TX 76508
Phone: 254-724-2111    
Dr. Bryn Putbrese, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 2401 S 31st St, Temple, TX 76508
Phone: 254-724-2111    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.