Mr Richard Jeremy Wallace, PA-C - Medicare in Williston, SC

Mr Richard Jeremy Wallace, PA-C is a medicare enrolled "Physician Assistant" in Williston, South Carolina. His current practice location is 13649 Church Street, Williston, South Carolina. You can reach out to his office (for appointments etc.) via phone at (803) 266-0060.

Mr Richard Jeremy Wallace is licensed to practice in * (Not Available) (license number ) 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 1841583788.

Contact Information

Mr Richard Jeremy Wallace, PA-C
13649 Church Street,
Williston, SC 29853
(803) 266-0060
(803) 266-0042

Map and Direction




Provider's Profile

Full NameMr Richard Jeremy Wallace
GenderMale
Speciality
Experience Years
Location13649 Church Street, Williston, South Carolina
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Richard Jeremy Wallace attended and graduated from in
  NPI Data:
  • NPI Number: 1841583788
  • Provider Enumeration Date: 05/25/2011
  • Last Update Date: 01/11/2024
  Medicare PECOS Information:
  • PECOS PAC ID:
  • Enrollment ID:

Medical Identifiers

Medical identifiers for Mr Richard Jeremy Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841583788NPI-NPPES
2920OtherSCMEDICAL LICENSE
SCE705OtherSCMEDICARE
3559PAMedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (* (Not Available))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. Mr Richard Jeremy 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 AddressPractice Location Address
Mr Richard Jeremy Wallace, PA-C
86 Wren St,
Barnwell, SC 29812-1529

Ph: (803) 259-5762
Mr Richard Jeremy Wallace, PA-C
13649 Church Street,
Williston, SC 29853

Ph: (803) 266-0060

Reviews and Comments


Physician Assistant Nurses in Williston, SC

Vickie Glover, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 13649 Church Street, Williston, SC 29853
Phone: 803-266-0060    Fax: 803-266-0042

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.