Wallace Heller, MD is a
Psychiatry & Neurology - Psychiatry physician based in Altus, Oklahoma. Wallace Heller is licensed to practice in Oklahoma (license number 22963) and his current practice location is 1200 E Tamarack Rd, Ste B, Altus, Oklahoma. He can be reached at his office (for appointments etc.) via phone at
(580) 482-4095.
NPI number for Wallace Heller is 1023015583 and his current mailing address is Po Box 8190, Altus, Oklahoma. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1023015583.
Physician's Profile
| Full Name | Wallace Heller |
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| Gender | Male |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 1200 E Tamarack Rd, Altus, Oklahoma |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1023015583
- Provider Enumeration Date: 06/30/2005
- Last Update Date: 04/23/2008
Medical Identifiers
Medical identifiers for Wallace Heller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023015583 | NPI | - | NPPES |
| 100845290A | Medicaid | OK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 22963 (Oklahoma) | Primary |
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 Heller is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Wallace Heller, MD
Po Box 8190,
Altus, OK 73522-8190
Ph: (580) 482-4781 | Wallace Heller, MD
1200 E Tamarack Rd, Ste B,
Altus, OK 73521-1234
Ph: (580) 482-4095 |
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