Shawn Michael Wallace, MD in Valrico, FL - Medicare Family Practice

Shawn Michael Wallace, MD is a medicare enrolled "Family Medicine" physician in Valrico, Florida. He graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Tampa General Medical Group Inc and his current practice location is 2211 Lithia Center Ln, Valrico, Florida. You can reach out to his office (for appointments etc.) via phone at (813) 660-7100.

Shawn Michael Wallace is licensed to practice in Florida (license number ME122253) 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 1326309501.

Contact Information

	Shawn Michael Wallace, MD
	2211 Lithia Center Ln, Valrico, FL 33596-5676
	(813) 660-7100
	(813) 660-6625

Map and Direction

Physician's Profile

Full Name	Shawn Michael Wallace
Gender	Male
Speciality	Family Practice
Experience	12 Years
Location	2211 Lithia Center Ln, Valrico, Florida
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Shawn Michael Wallace graduated from medical school in 2012

NPI Data:

NPI Number: 1326309501
Provider Enumeration Date: 06/04/2012
Last Update Date: 06/08/2021

Medicare PECOS Information:

PECOS PAC ID: 7113234618
Enrollment ID: I20150916000877

Medical Identifiers

Medical identifiers for Shawn Michael Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326309501	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	ME122253 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Pinnacle Home Care	Tampa, FL	Home health agency
Tampa General Hospital	Tampa, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Tampa General Medical Group Inc	7416253828	239

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. Shawn Michael Wallace allows following entities to bill medicare on his behalf.

Entity Name	Md Businesses Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033247580 PECOS PAC ID: 3678515947 Enrollment ID: O20050526000273

Entity Name	Tampa General Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043557853 PECOS PAC ID: 7416253828 Enrollment ID: O20160310002525

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. Shawn Michael 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
Shawn Michael Wallace, MD 2211 Lithia Center Ln, Valrico, FL 33596-5676 Ph: (813) 660-7100	Shawn Michael Wallace, MD 2211 Lithia Center Ln, Valrico, FL 33596-5676 Ph: (813) 660-7100

Reviews and Comments

Family Medicine Doctors in Valrico, FL

Mr. Mark C. Donnelly, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 2211 Lithia Center Ln, Valrico, FL 33596 Phone: 813-660-7100
John A Rog, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2237 Lithia Center Ln, Valrico, FL 33596 Phone: 813-662-0123 Fax: 813-662-9422
Dr. Dyan Jenelle Harvey-dent, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4325 Lynx Paw Trl, Valrico, FL 33594 Phone: 813-684-9600 Fax: 813-662-9777
Michelle L Judah, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2237 Lithia Center Ln, Valrico, FL 33596 Phone: 813-662-0123
Unnati Patel, Family Medicine Medicare: Medicare Enrolled Practice Location: 2470 Bloomingdale Ave Ste 123, Valrico, FL 33596 Phone: 813-655-8096
Aishwarya Potdar Daniels, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2470 Bloomingdale Ave Ste 123, Valrico, FL 33596 Phone: 813-655-8096 Fax: 813-684-1610

Shawn Michael Wallace, MD - Medicare Family Practice in Valrico, FL