Mr Brian David Wallace, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Franklin, Kentucky. His current practice location is
1100 Brookhaven Rd, Franklin, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(317) 614-9849.
Mr Brian David Wallace is licensed to practice in Kentucky (license number 39483) 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 1831198811.
Physician's Profile
| Full Name | Mr Brian David Wallace |
|---|
| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 1100 Brookhaven Rd, Franklin, Kentucky |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Brian David Wallace attended and graduated from in
NPI Data:
- NPI Number: 1831198811
- Provider Enumeration Date: 07/20/2005
- Last Update Date: 10/28/2015
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mr Brian David Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831198811 | NPI | - | NPPES |
| 64113905 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 39483 (Kentucky) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | MD0000040992 (Tennessee) | Secondary |
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. Mr Brian David 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 |
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Mr Brian David Wallace, MD
Po Box 3179,
Indianapolis, IN 46206-3179
Ph: (317) 614-9849 | Mr Brian David Wallace, MD
1100 Brookhaven Rd,
Franklin, KY 42134-2746
Ph: (317) 614-9849 |
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