Dr Tasha B Wallace, DO in Fort Myers, FL - Medicare Family Practice

Dr Tasha B Wallace, DO is a medicare enrolled "Family Medicine" physician in Fort Myers, Florida. She went to Rowan University School Of Osteopathic Medicine and graduated in 2000 and has 24 years of diverse experience with area of expertise as Family Practice. Her current practice location is 14651 Palm Beach Blvd Ste 100, Fort Myers, Florida. You can reach out to her office (for appointments etc.) via phone at (239) 369-2903.

Dr Tasha B Wallace is licensed to practice in Florida (license number OS8622) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1396736997.

Contact Information

	Dr Tasha B Wallace, DO
	14651 Palm Beach Blvd Ste 100, Fort Myers, FL 33905-2331
	(239) 369-2903
	(239) 369-0500

Map and Direction

Physician's Profile

Full Name	Dr Tasha B Wallace
Gender	Female
Speciality	Family Practice
Experience	24 Years
Location	14651 Palm Beach Blvd Ste 100, Fort Myers, Florida
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Tasha B Wallace attended and graduated from Rowan University School Of Osteopathic Medicine in 2000

NPI Data:

NPI Number: 1396736997
Provider Enumeration Date: 11/02/2005
Last Update Date: 08/27/2024

Medicare PECOS Information:

PECOS PAC ID: 3173626835
Enrollment ID: I20070317000058

Medical Identifiers

Medical identifiers for Dr Tasha B Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396736997	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	OS8622 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Cape Coral Hospital	Cape coral, FL	Hospital
Lee Memorial Hospital	Fort myers, FL	Hospital

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. Dr Tasha B Wallace allows following entities to bill medicare on her behalf.

Entity Name	Wallace Family Practice Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063548410 PECOS PAC ID: 4385747831 Enrollment ID: O20070321000403

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. Dr Tasha B 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
Dr Tasha B Wallace, DO 14651 Palm Beach Blvd Ste 100, Fort Myers, FL 33905-2331 Ph: (239) 369-2903	Dr Tasha B Wallace, DO 14651 Palm Beach Blvd Ste 100, Fort Myers, FL 33905-2331 Ph: (239) 369-2903

Reviews and Comments

Family Medicine Doctors in Fort Myers, FL

Annie Taylor Millis, FNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15420 Cemetery Rd, Fort Myers, FL 33905 Phone: 843-992-4619
Andrew J Oakes-lottridge, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1315 Florida Ave, Fort Myers, FL 33901 Phone: 239-694-6246 Fax: 239-344-3333
Taras Babiak, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 19701 S Tamiami Trl, Fort Myers, FL 33908 Phone: 239-314-1600 Fax: 239-425-6402
Dr. Frederick J. Burford Ii, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13774 Plantation Rd Ste 100, Fort Myers, FL 33912 Phone: 239-236-7777 Fax: 239-245-7028
Dr. Rafael Paula, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9981 S Healthpark Dr, Fort Myers, FL 33908 Phone: 239-343-2052 Fax: 239-343-5348
Dr. David John Gomeringer, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13691 Metro Pkwy Ste 240, Fort Myers, FL 33912 Phone: 239-768-5544 Fax: 239-768-9607
Billy Ray Fulk, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 16731 Mcgregor Blvd, Suite 105, Fort Myers, FL 33908 Phone: 239-437-2121

Dr Tasha B Wallace, DO - Medicare Family Practice in Fort Myers, FL