Tanner Wallen, DO in Saint Louis, MO - Medicare Internal Medicine

Tanner Wallen, DO is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Saint Louis, Missouri. His current practice location is 1201 S Grand Blvd, Saint Louis, Missouri. You can reach out to his office (for appointments etc.) via phone at (314) 257-8000.

Tanner Wallen is licensed to practice in Missouri (license number 2020024367) 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 1043731870.

Contact Information

	Tanner Wallen, DO
	1201 S Grand Blvd, Saint Louis, MO 63104-1016
	(314) 257-8000
	Not Available

Map and Direction

Physician's Profile

Full Name	Tanner Wallen
Gender	Male
Speciality	Internal Medicine - Pulmonary Disease
Location	1201 S Grand Blvd, Saint Louis, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043731870
Provider Enumeration Date: 07/01/2017
Last Update Date: 12/27/2022

Medicare PECOS Information:

PECOS PAC ID: 9537590831
Enrollment ID: I20230511002632

Medical Identifiers

Medical identifiers for Tanner Wallen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043731870	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	2020024367 (Missouri)	Secondary
207RP1001X	Internal Medicine - Pulmonary Disease	2020024367 (Missouri)	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. Tanner Wallen allows following entities to bill medicare on his behalf.

Entity Name	Ssm Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700966207 PECOS PAC ID: 6608776299 Enrollment ID: O20040729001034

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. Tanner Wallen 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
Tanner Wallen, DO 1201 S Grand Blvd, Saint Louis, MO 63104-1016 Ph: (314) 257-8000	Tanner Wallen, DO 1201 S Grand Blvd, Saint Louis, MO 63104-1016 Ph: (314) 257-8000

Reviews and Comments

Internal Medicine Doctors in Saint Louis, MO

Dr. Isik Turker, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 4921 Parkview Pl, Div Im Cardiology, Ste 8b, Saint Louis, MO 63110 Phone: 314-362-1291 Fax: 314-362-4278
Conor Mccartney, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 915 N Grand Blvd, Saint Louis, MO 63106 Phone: 314-652-4100
Dr. Faris Adam Bakeer, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Div Im Hospitalist, Saint Louis, MO 63110 Phone: 314-362-1700 Fax: 314-362-9878
Dr. Rehan Rais, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 1 Barnes Jewish Hospital Plz, Div Im Hospitalist, Saint Louis, MO 63110 Phone: 314-362-1700 Fax: 314-362-9878
Nathan Farkas, M.D. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110 Phone: 314-362-1930
Dr. Randy Olivier Laine, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Div Im Hospitalist, Saint Louis, MO 63110 Phone: 314-362-1700 Fax: 314-362-9878
Dr. Erin Leigh Dyer, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 4901 Forest Park Ave, Div Im General Med, Ste 241, Saint Louis, MO 63108 Phone: 314-362-5060 Fax: 314-362-6959

Tanner Wallen, DO - Medicare Internal Medicine in Saint Louis, MO