William Robert Wallace, MD in Lexington, KY - Medicare Emergency Medicine

William Robert Wallace, MD is a medicare enrolled "Emergency Medicine" physician in Lexington, Kentucky. He graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Southeastern Emergency Physicians Llc, New Lexington Clinic, Psc and his current practice location is 1221 S Broadway, Lexington, Kentucky. You can reach out to his office (for appointments etc.) via phone at (859) 258-4000.

William Robert Wallace is licensed to practice in Kentucky (license number 55629) 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 1851740609.

Contact Information

	William Robert Wallace, MD
	1221 S Broadway, Lexington, KY 40504-2701
	(859) 258-4000
	(859) 258-6203

Map and Direction

Physician's Profile

Full Name	William Robert Wallace
Gender	Male
Speciality	Emergency Medicine
Experience	8 Years
Location	1221 S Broadway, Lexington, Kentucky
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:

William Robert Wallace graduated from medical school in 2016

NPI Data:

NPI Number: 1851740609
Provider Enumeration Date: 06/11/2016
Last Update Date: 03/29/2023

Medicare PECOS Information:

PECOS PAC ID: 9739472572
Enrollment ID: I20210701003765

Medical Identifiers

Medical identifiers for William Robert Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851740609	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	2016015671 (Missouri)	Secondary
207P00000X	Emergency Medicine	55629 (Kentucky)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Jewish Hospital - Shelbyville	Shelbyville, KY	Hospital
Flaget Memorial Hospital	Bardstown, KY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southeastern Emergency Physicians Llc	2466364997	516
New Lexington Clinic, Psc	3476457532	307

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. William Robert Wallace allows following entities to bill medicare on his behalf.

Entity Name	New Lexington Clinic Psc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700803681 PECOS PAC ID: 3476457532 Enrollment ID: O20031121000103

Entity Name	Southeastern Emergency Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050302000285

Entity Name	South Central Physicians Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427611854 PECOS PAC ID: 6507195492 Enrollment ID: O20210126001625

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. William Robert 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
William Robert Wallace, MD 1221 S Broadway, Lexington, KY 40504-2701 Ph: (859) 258-4000	William Robert Wallace, MD 1221 S Broadway, Lexington, KY 40504-2701 Ph: (859) 258-4000

Reviews and Comments

Emergency Medicine Doctors in Lexington, KY

Allison Woodall, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: University Of Kentucky And Affiliates, 800 Rose St., Lexington, KY 40536 Phone: 859-323-5871
Traci Westerfield, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2416 Regency Road, Lexington, KY 40503 Phone: 859-278-1316 Fax: 859-276-1574
Dr. Hollis R Hilty, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1740 Nicholasville Road, Lexington, KY 40503 Phone: 859-260-6180 Fax: 859-260-6693
James Byron Moore Ii, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3205 Summit Square Pl Ste 100, Lexington, KY 40509 Phone: 859-335-9041 Fax: 859-335-9072
Dr. Matthew Stewart Dawson, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 230 W Main St, Lexington, KY 40507 Phone: 859-309-4839
Dr. Jeremiah Phelps, MD PHD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: University Of Kentucky, 800 Rose St, Lexington, KY 40536 Phone: 859-323-6762
Rebecca C Bowers, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 800 Rose St, Lexington, KY 40536 Phone: 859-323-5901

William Robert Wallace, MD - Medicare Emergency Medicine in Lexington, KY