Ryan C Wallace, MD | |
2401 W University Ave, Muncie, IN 47303-3428 | |
(765) 747-3241 | |
(765) 281-6567 |
Full Name | Ryan C Wallace |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 2401 W University Ave, Muncie, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316086291 | NPI | - | NPPES |
P00742247 | Other | IN | RAILROAD MEDICARE |
000000688369 | Other | IN | ANTHEM BC/BS |
200802900 | Medicaid | IN | |
200802900A | Medicaid | IN | |
P00841092 | Other | IN | RAILROAD MEDICARE |
000000626067 | Other | IN | ANTHEM BC/BS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 01061221A (Indiana) | Secondary |
207P00000X | Emergency Medicine | 01061221A (Indiana) | Primary |
Entity Name | Indiana University Health Ball Memorial Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235455544 PECOS PAC ID: 9537072640 Enrollment ID: O20031110000505 |
Entity Name | Indiana University Health Care Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902032832 PECOS PAC ID: 5799755864 Enrollment ID: O20040727000955 |
Mailing Address | Practice Location Address |
---|---|
Ryan C Wallace, MD 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Ryan C Wallace, MD 2401 W University Ave, Muncie, IN 47303-3428 Ph: (765) 747-3241 |
Milissa Ann Eley, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 333 S Madison St, Muncie, IN 47305 Phone: 765-286-7000 Fax: 765-213-2769 | |
Dr. Matthew A Eaton, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2401 W University Ave, Muncie, IN 47303 Phone: 765-747-3111 Fax: 317-962-5492 | |
Dr. Alyssa Ashley Hunter, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2401 W University Ave, Muncie, IN 47303 Phone: 765-741-1515 | |
Darrell R Hofer, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3807 S Madison St, Muncie, IN 47302 Phone: 765-751-3300 Fax: 765-751-3313 | |
Chandler Scott Brobst, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2598 W White River Blvd, Muncie, IN 47303 Phone: 765-702-2817 Fax: 765-222-2198 | |
Dr. Jason P Medler, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2401 W University Ave, Muncie, IN 47303 Phone: 765-747-3241 | |
Joseph Ignazio Indiano, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 221 N Celia Ave, Muncie, IN 47303 Phone: 765-747-4454 |