Wallace Lyle Past Sr, MD - General Practice in Crestwood, KY

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Wallace Lyle Past Sr, MD is a General Practice physician based in Crestwood, Kentucky. Wallace Lyle Past Sr is licensed to practice in Indiana (license number 01018231A) and his current practice location is 4608 Heritage Manor, Crestwood, Kentucky. He can be reached at his office (for appointments etc.) via phone at (502) 614-6688.

NPI number for Wallace Lyle Past Sr is 1871868802 and his current mailing address is 4608 Heritage Manor, Crestwood, Kentucky. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1871868802.

Contact Information

Wallace Lyle Past Sr, MD
4608 Heritage Manor,
Crestwood, KY 40014
(502) 614-6688
(502) 614-6688

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Physician's Profile

Full NameWallace Lyle Past Sr
GenderMale
SpecialityGeneral Practice
Location4608 Heritage Manor, Crestwood, Kentucky
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1871868802
  • Provider Enumeration Date: 03/08/2012
  • Last Update Date: 03/08/2012

Medical Identifiers

Medical identifiers for Wallace Lyle Past Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871868802NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 01018231A (Indiana)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 Lyle Past Sr 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 AddressPractice Location Address
Wallace Lyle Past Sr, MD
4608 Heritage Manor,
Crestwood, KY 40014

Ph: (502) 614-6688		Wallace Lyle Past Sr, MD
4608 Heritage Manor,
Crestwood, KY 40014

Ph: (502) 614-6688

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General Practice Doctors in Crestwood, KY

Dr. Ashok Alur, MD
General Practice
Medicare: Medicare Enrolled
Practice Location: 6520 W Hwy 22, Crestwood, KY 40014
Phone: 502-241-8488    Fax: 502-241-7424

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.