Michael Taylor Wallace, MD | |
1720 Spring Hill Ave Ste 300, Mobile, AL 36604-1409 | |
(251) 435-1200 | |
Not Available |
Full Name | Michael Taylor Wallace |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Experience | 9 Years |
Location | 1720 Spring Hill Ave Ste 300, Mobile, Alabama |
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 |
---|---|---|---|
1376922948 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 59163 (Tennessee) | Secondary |
207W00000X | Ophthalmology | 41653 (Alabama) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
East Alabama Medical Center And Snf | Opelika, AL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Eamc Eye Clinic Llc | 2567611031 | 2 |
Entity Name | Imc-diagnostic And Medical Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447201066 PECOS PAC ID: 2860399623 Enrollment ID: O20031218000577 |
Entity Name | Eamc Eye Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265143150 PECOS PAC ID: 2567611031 Enrollment ID: O20230220001425 |
Mailing Address | Practice Location Address |
---|---|
Michael Taylor Wallace, MD 1700 Spring Hill Ave Ste 100, Mobile, AL 36604-1416 Ph: (251) 435-1200 | Michael Taylor Wallace, MD 1720 Spring Hill Ave Ste 300, Mobile, AL 36604-1409 Ph: (251) 435-1200 |
Jeffrey St. John, Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 601 Providence Park Dr E, Mobile, AL 36695 Phone: 251-650-2020 Fax: 251-650-1010 | |
Rollins Lynne Tindell Jr., M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 2880 Dauphin St, Mobile, AL 36606 Phone: 251-473-1900 Fax: 251-470-8943 | |
Richard Joseph Duffey, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2880 Dauphin St, Mobile, AL 36606 Phone: 251-473-1900 Fax: 251-470-8943 | |
Valerie Lanette Vick, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2880 Dauphin St, Mobile, AL 36606 Phone: 251-473-1900 Fax: 251-470-8943 | |
Mark Scott Brown, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 6576 Airport Blvd Ste B200, Mobile, AL 36608 Phone: 251-650-5437 Fax: 800-689-2131 | |
Matthew Wooley Mosteller, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3701 Dauphin St, Mobile, AL 36608 Phone: 251-341-3368 Fax: 251-341-3371 | |
Andrew Pope Terry, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 3701 Dauphin St, Mobile, AL 36608 Phone: 251-341-3368 Fax: 251-341-3371 |