Luke Stewart Wallis, MD in Longview, TX

Luke Stewart Wallis, MD is a medicare enrolled "Dermatology" physician in Longview, Texas. His current practice location is 3535 N Fourth St Ste 400, Longview, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 757-3881.

Luke Stewart Wallis is licensed to practice in Texas (license number 1144724717) 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 1144724717.

Contact Information

	Luke Stewart Wallis, MD
	3535 N Fourth St Ste 400, Longview, TX 75605-0038
	(903) 757-3881
	(903) 757-5948

Map and Direction

Physician's Profile

Full Name	Luke Stewart Wallis
Gender	Male
Speciality	Dermatology
Location	3535 N Fourth St Ste 400, Longview, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144724717
Provider Enumeration Date: 03/20/2018
Last Update Date: 06/01/2023

Medicare PECOS Information:

PECOS PAC ID: 3971960949
Enrollment ID: I20230606003333

Medical Identifiers

Medical identifiers for Luke Stewart Wallis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144724717	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	1144724717 (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. Luke Stewart Wallis allows following entities to bill medicare on his behalf.

Entity Name	Wallis Dermatology Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396945234 PECOS PAC ID: 0749440188 Enrollment ID: O20120322000343

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. Luke Stewart Wallis 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
Luke Stewart Wallis, MD 3535 N Fourth St Ste 400, Longview, TX 75605-0038 Ph: (903) 757-3881	Luke Stewart Wallis, MD 3535 N Fourth St Ste 400, Longview, TX 75605-0038 Ph: (903) 757-3881

Reviews and Comments

Dermatology Doctors in Longview, TX

Matthew Thomas Hoffmann, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1402 N 4th St, Longview, TX 75601 Phone: 903-757-8878 Fax: 903-757-5985
Dr. Robert Stanley Taylor Iii, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3535 N Fourth St Ste 400, Longview, TX 75605 Phone: 903-757-3881 Fax: 903-757-5948
Dr. Mark S Wallis, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3535 N Fourth St Ste 400, Longview, TX 75605 Phone: 903-757-3881 Fax: 903-757-5948
Laura Paul Fite, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3535 N Fourth St Ste 400, Longview, TX 75605 Phone: 903-757-3881 Fax: 903-757-5948
Dr. Donna Vu, Dermatology Medicare: Not Enrolled in Medicare Practice Location: 6 Doctor Cir, Longview, TX 75605 Phone: 903-757-3881 Fax: 903-757-5948

Luke Stewart Wallis, MD - Medicare Dermatology in Longview, TX