Michael C Wallace, MD | |
7685 Winchester Rd, Memphis, TN 38125-2202 | |
(901) 752-6963 | |
(901) 751-5540 |
Full Name | Michael C Wallace |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 30 Years |
Location | 7685 Winchester Rd, Memphis, Tennessee |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932192556 | NPI | - | NPPES |
1474033 | Other | TN | CIGNA |
4065344 | Other | TN | BCBS, TN |
7128500 | Other | TN | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD36875 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Baptist Memorial Hospital | Memphis, TN | Hospital |
Methodist Healthcare Memphis Hospitals | Memphis, TN | Hospital |
Methodist Healthcare - Olive Branch Hospital | Olive branch, MS | Hospital |
Baptist Memorial Hospital Desoto | Southaven, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bmg Family Physicians Group Foundation Inc | 1557508983 | 22 |
Baptist Memorial Medical Group, Inc. | 5193610228 | 432 |
Entity Name | Baptist Memorial Medical Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306089206 PECOS PAC ID: 5193610228 Enrollment ID: O20040218000385 |
Entity Name | Bmg Family Physicians Group Foundation Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578804142 PECOS PAC ID: 1557508983 Enrollment ID: O20130502000309 |
Mailing Address | Practice Location Address |
---|---|
Michael C Wallace, MD Po Box 405827, Atlanta, GA 30384-5800 Ph: () - | Michael C Wallace, MD 7685 Winchester Rd, Memphis, TN 38125-2202 Ph: (901) 752-6963 |
Arvind Reddy Ankireddypalli, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1325 Eastmoreland Ave Ste 150, Memphis, TN 38104 Phone: 901-516-9830 Fax: 901-516-9837 | |
Dr. Christina Brown Tran, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1301 Primacy Pkwy, Memphis, TN 38119 Phone: 901-866-8812 | |
Marthinus Theunis Zeeman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1940 Abergeldie Dr, Memphis, TN 38119 Phone: 901-481-4613 | |
Dr. Sudha R Prasad, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3836 Park Ave, Memphis, TN 38111 Phone: 901-324-3984 Fax: 901-454-1655 | |
Joseph Patrick, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2569 Douglass Ave, Memphis, TN 38114 Phone: 901-271-6200 Fax: 901-271-6249 | |
Dr. Olawale Adetayo Morafa, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2693 Union Avenue Ext, Suite 100, Memphis, TN 38112 Phone: 901-722-0088 Fax: 901-722-0082 | |
Dr. Contrina Annette Huffman, M.D Family Medicine Medicare: Medicare Enrolled Practice Location: 1325 Eastmoreland Ave Ste 150, Memphis, TN 38104 Phone: 901-516-9830 Fax: 901-516-9837 |