Wallace Dale Prophet, MD in Kalispell, MT - Medicare Internal Medicine

Wallace Dale Prophet, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Kalispell, Montana. His current practice location is 350 Heritage Way, Suite 2100, Kalispell, Montana. You can reach out to his office (for appointments etc.) via phone at (406) 257-8992.

Wallace Dale Prophet is licensed to practice in Montana (license number 49643) 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 1942294426.

Contact Information

	Wallace Dale Prophet, MD
	350 Heritage Way, Suite 2100, Kalispell, MT 59901-3158
	(406) 257-8992
	(406) 755-4161

Map and Direction

Physician's Profile

Full Name	Wallace Dale Prophet
Gender	Male
Speciality	Internal Medicine - Pulmonary Disease
Location	350 Heritage Way, Kalispell, Montana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942294426
Provider Enumeration Date: 09/09/2005
Last Update Date: 08/22/2017

Medicare PECOS Information:

PECOS PAC ID: 9638270200
Enrollment ID: I20160614000607

Medical Identifiers

Medical identifiers for Wallace Dale Prophet such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942294426	NPI	-	NPPES
000012909	Medicaid	AL
00284468A	Medicaid	GA
068414700	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RP1001X	Internal Medicine - Pulmonary Disease	9734 (Alabama)	Secondary
207RP1001X	Internal Medicine - Pulmonary Disease	49643 (Montana)	Primary

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. Wallace Dale Prophet allows following entities to bill medicare on his behalf.

Entity Name	Kalispell Regional Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235333139 PECOS PAC ID: 5294644381 Enrollment ID: O20031122000142

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. Wallace Dale Prophet 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
Wallace Dale Prophet, MD 350 Heritage Way, Suite 2100, Kalispell, MT 59901-3158 Ph: (406) 257-8992	Wallace Dale Prophet, MD 350 Heritage Way, Suite 2100, Kalispell, MT 59901-3158 Ph: (406) 257-8992

Reviews and Comments

Internal Medicine Doctors in Kalispell, MT

Dr. Tobin James Hoppes, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 75 Claremont St Ste H, Kalispell, MT 59901 Phone: 406-752-7406 Fax: 406-752-7544
Marise K Johnson, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1280 Burns Way, Kalispell, MT 59901 Phone: 406-755-5266 Fax: 406-755-0228
Kerry J Eby, Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 310 Sunnyview Ln, Kalispell, MT 59901 Phone: 406-751-6725 Fax: 406-758-5170
Dr. Jeffrey W. Watkins, M.D. Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 350 Heritage Way Ste 2100, Kalispell, MT 59901 Phone: 406-257-8992 Fax: 406-275-8996
Torbjorn Ingvar Joreteg, MD PHD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 160 Heritage Way, Kalispell, MT 59901 Phone: 406-755-7785 Fax: 406-755-7857
Nathaniel Lyle Hall, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 350 Heritage Way, Suite 2100, Kalispell, MT 59901 Phone: 406-257-8992 Fax: 406-751-4161
Anna Rose Robbins, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 310 Sunnyview Ln, Northwest Hospitalists, Kalispell, MT 59901 Phone: 406-751-5310 Fax: 406-751-5769

Wallace Dale Prophet, MD - Medicare Internal Medicine in Kalispell, MT