Timothy R Wallace, DO in Oshkosh, WI

Timothy R Wallace, DO is a medicare enrolled "Family Medicine" physician in Oshkosh, Wisconsin. His current practice location is 855 N Westhaven Dr, Oshkosh, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 303-8700.

Timothy R Wallace is licensed to practice in South Carolina (license number 1195) 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 1275725384.

Contact Information

	Timothy R Wallace, DO
	855 N Westhaven Dr, Oshkosh, WI 54904-7668
	(920) 303-8700
	(920) 303-8832

Map and Direction

Physician's Profile

Full Name	Timothy R Wallace
Gender	Male
Speciality
Experience	Years
Location	855 N Westhaven Dr, Oshkosh, Wisconsin
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:

Timothy R Wallace attended and graduated from in

NPI Data:

NPI Number: 1275725384
Provider Enumeration Date: 08/13/2007
Last Update Date: 12/06/2021

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Timothy R Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275725384	NPI	-	NPPES
1195	Other	SC	MEDICAL LICENSE
60032-021	Other	WI	MEDICAL LICENSE
OS013436	Other	PA	LICENSE
011953	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	1195 (South Carolina)	Primary
207Q00000X	Family Medicine	OS013436 (Pennsylvania)	Secondary

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. Timothy R 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
Timothy R Wallace, DO 855 N Westhaven Dr, Oshkosh, WI 54904-7668 Ph: (920) 303-8700	Timothy R Wallace, DO 855 N Westhaven Dr, Oshkosh, WI 54904-7668 Ph: (920) 303-8700

Reviews and Comments

Family Medicine Doctors in Oshkosh, WI

Eric A Smiltneek, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 414 Doctors Ct, Oshkosh, WI 54901 Phone: 920-303-5100
Alexey Shereshevsky, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 N. Westhaven Drive, Thedacare Physicians Oshkosh, Oshkosh, WI 54904 Phone: 920-237-5000 Fax: 920-237-5001
Michael Menard, Family Medicine Medicare: Medicare Enrolled Practice Location: 855 N Westhaven Dr, Oshkosh, WI 54904 Phone: 920-303-8700
Harold W Boccheciamp, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2725 Jackson St, Oshkosh, WI 54901 Phone: 920-223-7500
James W Smrecek, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1855 S Koeller St, Oshkosh, WI 54902 Phone: 920-223-7300
Dr. Scott J Beougher, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5165 Chesapeake Ct, Oshkosh, WI 54901 Phone: 920-303-2254
Karl C Larson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2725 Jackson St, Oshkosh, WI 54901 Phone: 920-223-7500 Fax: 920-223-7630

Timothy R Wallace, DO - Medicare in Oshkosh, WI