Dr August Michael Wallace, OD in Longview, TX - Medicare Optometrist Provider

Dr August Michael Wallace, OD is a medicare enrolled "Optometrist" provider in Longview, Texas. His current practice location is 3032 N Eastman Rd Ste 100, Longview, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 663-2020.

Dr August Michael Wallace is licensed to practice in Texas (license number 7660) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1477750081.

Contact Information

	Dr August Michael Wallace, OD
	3032 N Eastman Rd Ste 100, Longview, TX 75605-5024
	(903) 663-2020
	(903) 663-2353

Map and Direction

Healthcare Provider's Profile

Full Name	Dr August Michael Wallace
Gender	Male
Speciality	Optometrist
Location	3032 N Eastman Rd Ste 100, Longview, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477750081
Provider Enumeration Date: 06/27/2007
Last Update Date: 09/20/2021

Medicare PECOS Information:

PECOS PAC ID: 7911093018
Enrollment ID: I20111020000753

Medical Identifiers

Medical identifiers for Dr August Michael Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477750081	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	7660 (Texas)	Primary

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. Dr August Michael Wallace allows following entities to bill medicare on his behalf.

Provider Name	Med Southwest Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1609348739 PECOS PAC ID: 4082952874 Enrollment ID: O20190221001481

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. Dr August Michael 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
Dr August Michael Wallace, OD 1950 Old Gallows Rd Ste 520, Vienna, VA 22182-3970 Ph: (703) 847-8899	Dr August Michael Wallace, OD 3032 N Eastman Rd Ste 100, Longview, TX 75605-5024 Ph: (903) 663-2020

Reviews and Comments

Optometrist in Longview, TX

Dr. Daniel Neal Edwards, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1000 N 4th St, Longview, TX 75601 Phone: 903-236-7474 Fax: 903-236-7484
Dr. Kristofer Kyle Thornton, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2304 Judson Rd Ste B, Longview, TX 75605 Phone: 903-758-9090 Fax: 903-758-1701
Steven Daniel Barraza, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3098 N Eastman Rd, Longview, TX 75605 Phone: 903-704-4699
Childress Vision Clinic Optometrist Medicare: Not Enrolled in Medicare Practice Location: 408 E Magrill St, Longview, TX 75601 Phone: 903-753-4436 Fax: 903-757-4400
Marceline Grey Westbrook, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: Northwest Village 1715, West Loop 281, Longview, TX 75605 Phone: 903-475-1021 Fax: 903-759-2833
Texas State Optical Longview Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3032 N Eastman Rd Ste 100, Longview, TX 75605 Phone: 903-663-2020 Fax: 903-663-2353
Shannon Lebus, DO Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2394 H G Mosley Pkwy, Longview, TX 75604 Phone: 903-234-0771 Fax: 903-234-0775

Dr August Michael Wallace, OD - Medicare Optometrist in Longview, TX