Lewis Alfred Wallace, DO in Ada, OK - Medicare Internal Medicine

Lewis Alfred Wallace, DO is a medicare enrolled "Internal Medicine" physician in Ada, Oklahoma. He went to Oklahoma State University College Of Osteopathic Medicine and graduated in 1991 and has 33 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Chickasaw Nation Division Of Health Chickasaw Nation Medical Center and his current practice location is 1921 Stonecipher Blvd, Ada, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (580) 421-4570.

Lewis Alfred Wallace is licensed to practice in Oklahoma (license number 3060) 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 1942292271.

Contact Information

	Lewis Alfred Wallace, DO
	1921 Stonecipher Blvd, Ada, OK 74820
	(580) 421-4570
	Not Available

Map and Direction

Physician's Profile

Full Name	Lewis Alfred Wallace
Gender	Male
Speciality	Internal Medicine
Experience	33 Years
Location	1921 Stonecipher Blvd, Ada, Oklahoma
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:

Lewis Alfred Wallace attended and graduated from Oklahoma State University College Of Osteopathic Medicine in 1991

NPI Data:

NPI Number: 1942292271
Provider Enumeration Date: 08/23/2005
Last Update Date: 09/14/2016

Medicare PECOS Information:

PECOS PAC ID: 8921100322
Enrollment ID: I20130208000391

Medical Identifiers

Medical identifiers for Lewis Alfred Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942292271	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	3060 (Oklahoma)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Chickasaw Nation Division Of Health Chickasaw Nation Medical Center	8426957523	219

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. Lewis Alfred Wallace allows following entities to bill medicare on his behalf.

Entity Name	Chickasaw Nation Division Of Health Chickasaw Nation Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255364923 PECOS PAC ID: 8426957523 Enrollment ID: O20040108000364

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. Lewis Alfred 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
Lewis Alfred Wallace, DO 1921 Stonecipher Blvd, Ada, OK 74820 Ph: (580) 421-4570	Lewis Alfred Wallace, DO 1921 Stonecipher Blvd, Ada, OK 74820 Ph: (580) 421-4570

Reviews and Comments

Internal Medicine Doctors in Ada, OK

Gary L Paddack, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 902 Arlington Ctr, Pmb 224, Ada, OK 74820 Phone: 580-436-2262 Fax: 580-272-0186
Dr. Shirley J Welden, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1921 Stonecipher Blvd, Ada, OK 74820 Phone: 580-421-4570
Dr. Shrina Parekh, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1921 Stonecipher Dr, Ada, OK 74820 Phone: 580-301-6465
Elizabeth Omojasola Omoniyi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 520 N Monte Vista St Ste A, Ada, OK 74820 Phone: 580-453-3545 Fax: 580-453-3546
Steven Louis Fillmore, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1921 Stonecipher Blvd, Ada, OK 74820 Phone: 580-421-4570
Dr. Quyen Thanh Ha, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 430 N Monte Vista St, Valley View Reg Hospital Wound Care Center, Ada, OK 74820 Phone: 580-272-1731 Fax: 580-272-1720
Jerry S Morgan, M D L L C Internal Medicine Medicare: Medicare Enrolled Practice Location: 1921 Stonecipher Blvd, Ada, OK 74820 Phone: 580-436-3980 Fax: 580-272-2708

Lewis Alfred Wallace, DO - Medicare Internal Medicine in Ada, OK