Mr Carter Douglas Wallace, MD in Columbus, GA

Mr Carter Douglas Wallace, MD is a medicare enrolled "Pediatrics - Pediatric Gastroenterology" physician in Columbus, Georgia. His current practice location is 2200 Hamilton Rd Ste B, Columbus, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 655-8800.

Mr Carter Douglas Wallace is licensed to practice in Georgia (license number 90501) 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 1497037899.

Contact Information

	Mr Carter Douglas Wallace, MD
	2200 Hamilton Rd Ste B, Columbus, GA 31904-8856
	(706) 655-8800
	(205) 638-7455

Map and Direction

Physician's Profile

Full Name	Mr Carter Douglas Wallace
Gender	Male
Speciality	Pediatrics - Pediatric Gastroenterology
Location	2200 Hamilton Rd Ste B, Columbus, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497037899
Provider Enumeration Date: 09/13/2011
Last Update Date: 08/22/2022

Medicare PECOS Information:

PECOS PAC ID: 8022339647
Enrollment ID: I20220909000628

Medical Identifiers

Medical identifiers for Mr Carter Douglas Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497037899	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	MD.35643 (Alabama)	Secondary
2080P0206X	Pediatrics - Pediatric Gastroenterology	MD.35643 (Alabama)	Secondary
2080P0206X	Pediatrics - Pediatric Gastroenterology	90501 (Georgia)	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. Mr Carter Douglas Wallace allows following entities to bill medicare on his behalf.

Entity Name	Southeastern Gastroenterology Associates Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467196139 PECOS PAC ID: 5597149682 Enrollment ID: O20220909000291

Entity Name	Southeastern Endoscopy Center Llc
Entity Type	Part B Supplier - Ambulatory Surgical Center
Entity Identifiers	NPI Number: 1932819554 PECOS PAC ID: 4486026572 Enrollment ID: O20230220000724

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 Carter Douglas 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
Mr Carter Douglas Wallace, MD 1600 7th Avenue South, Suite S604, Birmingham, AL 35233 Ph: (205) 638-9918	Mr Carter Douglas Wallace, MD 2200 Hamilton Rd Ste B, Columbus, GA 31904-8856 Ph: (706) 655-8800

Reviews and Comments

Pediatrics Doctors in Columbus, GA

Subhendu De, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 710 Center St, Columbus, GA 31901 Phone: 706-571-1311
Feoderis N Basilio, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 104 14th St, Columbus, GA 31901 Phone: 706-507-5437 Fax: 706-507-5499
Dr. Barbara Lynn Menchan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2000 10th Ave, Suite 400, Columbus, GA 31901 Phone: 706-660-2932 Fax: 706-660-2935
Dr. Cheryl Carroll, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2416 Capstone Ct, Columbus, GA 31909 Phone: 706-327-1281 Fax: 706-327-1159
Mrs. Kelli B Whitted, NP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2001 Brookstone Centre Pkwy, Columbus, GA 31904 Phone: 706-571-9699 Fax: 706-571-9565
Erik A. Heiss, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2416 Capstone Ct, Columbus, GA 31909 Phone: 706-327-1281 Fax: 706-576-9714
David H Levine, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 710 Center St, Columbus, GA 31901 Phone: 706-571-1002 Fax: 706-660-6504

Mr Carter Douglas Wallace, MD - Medicare Pediatrics in Columbus, GA