Tracey C Wallace, MD in Atlanta, GA - Medicare Family Practice

Tracey C Wallace, MD is a medicare enrolled "Family Medicine" physician in Atlanta, Georgia. He went to Loma Linda University School Of Medicine and graduated in 1993 and has 32 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Northside Urgent Care Holding Llc and his current practice location is 3525 Piedmont Rd Ne, Bldg 7-601, Atlanta, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 509-1025.

Tracey C Wallace is licensed to practice in Georgia (license number 042483) 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 1265475206.

Contact Information

	Tracey C Wallace, MD
	3525 Piedmont Rd Ne, Bldg 7-601, Atlanta, GA 30305-1578
	(770) 509-1025
	Not Available

Map and Direction

Physician's Profile

Full Name	Tracey C Wallace
Gender	Male
Speciality	Family Practice
Experience	32 Years
Location	3525 Piedmont Rd Ne, Atlanta, Georgia
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:

Tracey C Wallace attended and graduated from Loma Linda University School Of Medicine in 1993

NPI Data:

NPI Number: 1265475206
Provider Enumeration Date: 06/14/2006
Last Update Date: 02/26/2021

Medicare PECOS Information:

PECOS PAC ID: 2769383892
Enrollment ID: I20111026000845

Medical Identifiers

Medical identifiers for Tracey C Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265475206	NPI	-	NPPES
00777697A	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	042483 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Northside Hospital	Atlanta, GA	Hospital
Wellstar Kennestone Hospital	Marietta, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northside Urgent Care Holding Llc	4587984695	62

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. Tracey C Wallace allows following entities to bill medicare on his behalf.

Entity Name	Northside Primary Care Professional Services,llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922397553 PECOS PAC ID: 9638343924 Enrollment ID: O20111123000206

Entity Name	Northside Urgent Care Holding Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679962237 PECOS PAC ID: 4587984695 Enrollment ID: O20150513000795

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. Tracey C 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
Tracey C Wallace, MD 1121 Johnson Ferry Rd, Suite 100, Marietta, GA 30068-5425 Ph: (770) 509-1025	Tracey C Wallace, MD 3525 Piedmont Rd Ne, Bldg 7-601, Atlanta, GA 30305-1578 Ph: (770) 509-1025

Reviews and Comments

Family Medicine Doctors in Atlanta, GA

Fidelia O Osinubi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3885 Princeton Lakes Way, Suite 402, Atlanta, GA 30331 Phone: 404-349-0496 Fax: 404-349-6081
Theresa R Jacobs, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 868 York Ave Sw, Atlanta, GA 30310 Phone: 404-752-1400 Fax: 404-758-0740
David M Williams, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1046 Ridge Ave Sw, Atlanta, GA 30315 Phone: 404-688-1350 Fax: 404-564-6734
Dr. Bhavi Patel Purohit, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 720 Westview Dr Sw, Atlanta, GA 30310 Phone: 404-756-1230 Fax: 404-752-8682
Dr. Edmond Shih, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5461 Buford Hwy Ne, Atlanta, GA 30340 Phone: 770-457-5556 Fax: 770-457-7776
Zahidul Islam Chowdhury, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 240 N Highland Ave Ne, Suite F, Atlanta, GA 30307 Phone: 404-658-9840 Fax: 404-658-9846
Marissa Benn Lapedis, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1110 W Peachtree St Nw Ste 200a, Atlanta, GA 30309 Phone: 404-575-2000 Fax: 404-575-2001

Tracey C Wallace, MD - Medicare Family Practice in Atlanta, GA