Thomas Evans Wallace, MD in Williamsport, PA

Thomas Evans Wallace, MD is a medicare enrolled "Family Medicine" physician in Williamsport, Pennsylvania. He went to Temple University School Of Medicine and graduated in 1989 and has 35 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Family Practice Center Pc and his current practice location is 145 Shaffer St, Williamsport, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (570) 327-1335.

Thomas Evans Wallace is licensed to practice in Pennsylvania (license number MD045078L) 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 1306882725.

Contact Information

	Thomas Evans Wallace, MD
	145 Shaffer St, Williamsport, PA 17702-6727
	(570) 327-1335
	(570) 321-7800

Map and Direction

Physician's Profile

Full Name	Thomas Evans Wallace
Gender	Male
Speciality	Family Practice
Experience	35 Years
Location	145 Shaffer St, Williamsport, Pennsylvania
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:

Thomas Evans Wallace attended and graduated from Temple University School Of Medicine in 1989

NPI Data:

NPI Number: 1306882725
Provider Enumeration Date: 06/22/2006
Last Update Date: 10/05/2022

Medicare PECOS Information:

PECOS PAC ID: 7719997048
Enrollment ID: I20060501000426

Medical Identifiers

Medical identifiers for Thomas Evans Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306882725	NPI	-	NPPES
707439F6K	Other	PA	MEDICARE
001280114	Medicaid	PA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	MD045078L (Pennsylvania)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Residential Home Health Of Nc Pa, Llc	Williamsport, PA	Home health agency
Susquehanna Home Care And Hospice Services	Williamsport, PA	Home health agency
Susquehanna Home Care & Hospice Services	Williamsport, PA	Hospice
Williamsport Regional Medical Center	Williamsport, PA	Hospital
Upmc Susquehanna Muncy	Muncy, PA	Hospital
Geisinger Jersey Shore Hospital	Jersey shore, PA	Hospital
Bucktail Medical Center	Renovo, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Family Practice Center Pc	0244124212	280

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. Thomas Evans Wallace allows following entities to bill medicare on his behalf.

Entity Name	Family Practice Center Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154376937 PECOS PAC ID: 0244124212 Enrollment ID: O20040211000012

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. Thomas Evans 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
Thomas Evans Wallace, MD 7 Dock Hill Rd, Middleburg, PA 17842-8910 Ph: (570) 837-2123	Thomas Evans Wallace, MD 145 Shaffer St, Williamsport, PA 17702-6727 Ph: (570) 327-1335

Reviews and Comments

Family Medicine Doctors in Williamsport, PA

Dr. Kathleen Claire Lewis, Family Medicine Medicare: Medicare Enrolled Practice Location: 1701 Four Mile Dr, Williamsport, PA 17701 Phone: 570-327-1000 Fax: 570-323-6079
Alexander Elli Nuique Jr., MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1205 River Avenue Fl 2, Williamsport, PA 17701 Phone: 570-326-4118 Fax: 570-326-5533
Jeffrey Verzella, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 740 High St, Suite 4001, Williamsport, PA 17701 Phone: 570-321-2345
Courtney Leigh Goettel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 740 High St Ste 4001, Williamsport, PA 17701 Phone: 570-321-2345
Lara Jaussi, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 Grampian Blvd, Williamsport, PA 17701 Phone: 570-320-7680
Leeanna Lyne, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1205 Grampian Blvd, Suite 3c, Williamsport, PA 17701 Phone: 570-320-7800
Daniel R Conner, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 471 Hepburn St, Williamsport, PA 17701 Phone: 570-567-5400

Thomas Evans Wallace, MD - Medicare Family Practice in Williamsport, PA