Wallace Obenshain, MD is a
Family Medicine physician based in Cecilton, Maryland. Wallace Obenshain is licensed to practice in Maryland (license number D0035779) and his current practice location is 251 S Bohemia Ave, Cecilton, Maryland. He can be reached at his office (for appointments etc.) via phone at
(410) 275-8157.
NPI number for Wallace Obenshain is 1568410603 and his current mailing address is Po Box 190, Elkton, Maryland. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1568410603.
Physician's Profile
Full Name | Wallace Obenshain |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 251 S Bohemia Ave, Cecilton, Maryland |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1568410603
- Provider Enumeration Date: 05/04/2006
- Last Update Date: 07/06/2012
Medical Identifiers
Medical identifiers for Wallace Obenshain such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568410603 | NPI | - | NPPES |
168491400 | Medicaid | MD | |
080176795 | Other | MD | MEDICARE RAILROAD |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | D0035779 (Maryland) | 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 Obenshain 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 Obenshain, MD Po Box 190, Elkton, MD 21922-0190 Ph: (410) 398-4679 | Wallace Obenshain, MD 251 S Bohemia Ave, Cecilton, MD 21913-0670 Ph: (410) 275-8157 |
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