Mervin P Wallace, MD in Tallahassee, FL - Medicare Family Practice

Mervin P Wallace, MD is a medicare enrolled "Family Medicine - Geriatric Medicine" physician in Tallahassee, Florida. He graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Legacy Healthcare Services Inc, Tallahassee Primary Care Associates Pa and his current practice location is 1264 Metropolitan Blvd, Tallahassee, Florida. You can reach out to his office (for appointments etc.) via phone at (850) 383-3471.

Mervin P Wallace is licensed to practice in Florida (license number ME95779) 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 1346269883.

Contact Information

	Mervin P Wallace, MD
	1264 Metropolitan Blvd, Tallahassee, FL 32312-2536
	(850) 383-3471
	Not Available

Map and Direction

Physician's Profile

Full Name	Mervin P Wallace
Gender	Male
Speciality	Family Practice
Experience	22 Years
Location	1264 Metropolitan Blvd, Tallahassee, Florida
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:

Mervin P Wallace graduated from medical school in 2002

NPI Data:

NPI Number: 1346269883
Provider Enumeration Date: 07/18/2006
Last Update Date: 10/11/2024

Medicare PECOS Information:

PECOS PAC ID: 5496752727
Enrollment ID: I20061031000078

Medical Identifiers

Medical identifiers for Mervin P Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346269883	NPI	-	NPPES
P00964768	Other	FL	MEDICARE RR
276781300	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	ME95779 (Florida)	Secondary
207QG0300X	Family Medicine - Geriatric Medicine	ME95779 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Encompass Health Home Health	Blountstown, FL	Home health agency
Suncrest Omni	Tallahassee, FL	Home health agency
Kindred At Home	Tallahassee, FL	Home health agency
Tallahassee Memorial Home Health Care	Tallahassee, FL	Home health agency
Tallahassee Memorial Healthcare	Tallahassee, FL	Hospital
Westminster Oaks	Tallahassee, FL	Nursing home

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Legacy Healthcare Services Inc	2163339722	3341
Tallahassee Primary Care Associates Pa	4789581901	22

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. Mervin P Wallace allows following entities to bill medicare on his behalf.

Entity Name	Tallahassee Primary Care Associates Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972661262 PECOS PAC ID: 4789581901 Enrollment ID: O20031216000696

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. Mervin P 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
Mervin P Wallace, MD Po Box 15349, Tallahassee, FL 32317-5349 Ph: () -	Mervin P Wallace, MD 1264 Metropolitan Blvd, Tallahassee, FL 32312-2536 Ph: (850) 383-3471

Reviews and Comments

Family Medicine Doctors in Tallahassee, FL

Lucille T Saha, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1723 Mahan Center Blvd, Tallahassee, FL 32308 Phone: 850-878-5310 Fax: 850-878-4483
Stewart Drew Warren, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1301 Hodges Dr, Tallahassee, FL 32308 Phone: 850-431-5741 Fax: 850-431-6403
Dr. Christopher W Delisle, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 960 Learning Way, Tallahassee, FL 32306 Phone: 850-644-6230 Fax: 850-644-4251
Dr. Leslie S Emhof, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1525 Killearn Center Blvd, Tallahassee, FL 32309 Phone: 850-893-6706 Fax: 850-893-2846
Victoria Roy Bates, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1491 Governors Square Blvd, Tallahassee, FL 32301 Phone: 850-383-3300 Fax: 850-523-7490
Holly Klopfenstein, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1301 Hodges Dr, Tallahassee, FL 32308 Phone: 850-431-5714 Fax: 850-431-6403
Moritz Eduard Dehler, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2140 Centerville Pl, Tallahassee, FL 32308 Phone: 850-383-3300 Fax: 850-383-3497

Mervin P Wallace, MD - Medicare Family Practice in Tallahassee, FL