Thomas Everett Wallace, MD in Lexington, KY - Medicare Internal Medicine

Thomas Everett Wallace, MD is a medicare enrolled "Internal Medicine - Critical Care Medicine" physician in Lexington, Kentucky. His current practice location is 740 S Limestone, L543, Kentucky Clinic, Lexington, Kentucky. You can reach out to his office (for appointments etc.) via phone at (859) 323-5045.

Thomas Everett Wallace is licensed to practice in Kentucky (license number 43982) 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 1700822822.

Contact Information

	Thomas Everett Wallace, MD
	740 S Limestone, L543, Kentucky Clinic, Lexington, KY 40536-0284
	(859) 323-5045
	(859) 257-2418

Map and Direction

Physician's Profile

Full Name	Thomas Everett Wallace
Gender	Male
Speciality	Internal Medicine - Critical Care Medicine
Location	740 S Limestone, Lexington, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700822822
Provider Enumeration Date: 06/20/2006
Last Update Date: 11/02/2021

Medicare PECOS Information:

PECOS PAC ID: 9133171101
Enrollment ID: I20181126002712

Medical Identifiers

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

Identifier	Type	State	Issuer
1700822822	NPI	-	NPPES
33270961	Medicaid	TN
4123936	Other	TN	BCBS OF TENNESSEE
4158379	Other	TN	BLUE CROSS
201256750	Medicaid	IN
P00317082	Other	TN	RAILROAD MEDICARE
3327097	Medicaid	TN
30707611	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0200X	Internal Medicine - Critical Care Medicine	MD23936 (Tennessee)	Secondary
207RP1001X	Internal Medicine - Pulmonary Disease	30857 (West Virginia)	Secondary
207RP1001X	Internal Medicine - Pulmonary Disease	43982 (Kentucky)	Secondary
207RC0200X	Internal Medicine - Critical Care Medicine	43982 (Kentucky)	Primary
207R00000X	Internal Medicine	43982 (Kentucky)	Secondary
207RC0200X	Internal Medicine - Critical Care Medicine	30857 (West Virginia)	Secondary

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 Everett Wallace allows following entities to bill medicare on his behalf.

Entity Name	Deaconess Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427097443 PECOS PAC ID: 9032021431 Enrollment ID: O20040115000129

Entity Name	Select Specialty Hospital - Evansville Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750380739 PECOS PAC ID: 9830295864 Enrollment ID: O20120213000034

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 Everett 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 Everett Wallace, MD 740 S Limestone, L534, Kentucky Clnic, Lexington, KY 40536-0284 Ph: (859) 323-5045	Thomas Everett Wallace, MD 740 S Limestone, L543, Kentucky Clinic, Lexington, KY 40536-0284 Ph: (859) 323-5045

Reviews and Comments

Internal Medicine Doctors in Lexington, KY

Mr. Fabrizio Canepa Escaro, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: Uk Division Of Hospital Medicine 800 Rose, Lexington, KY 40536 Phone: 859-323-6047 Fax: 859-257-3873
Dr. Moneera Nur Haque, MD Critical Care Medicine Medicare: Medicare Enrolled Practice Location: 125 E Maxwell St Ste 200, Lexington, KY 40508 Phone: 859-323-3231 Fax: 859-257-9461
Deepali Pandey, MBBS Critical Care Medicine Medicare: Medicare Enrolled Practice Location: 800 Rose St # Cc-402, Lexington, KY 40536 Phone: 650-804-3111
Dr. Dorothy Mccord Maes, MD Critical Care Medicine Medicare: Medicare Enrolled Practice Location: 1000 S Limestone, Lexington, KY 40536 Phone: 859-323-9057 Fax: 859-323-9502
Omar Osman, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Rose St, Lexington, KY 40536 Phone: 859-323-1691 Fax: 859-323-1700
Dr. Stephen M Mooney, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 2101 Nicholasville Rd Ste 304, Lexington, KY 40503 Phone: 859-277-5771 Fax: 859-276-4622
Michael Han Young, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 740 S Limestone, Lexington, KY 40536 Phone: 859-323-5544 Fax: 859-257-9286

Thomas Everett Wallace, MD - Medicare Internal Medicine in Lexington, KY