Dr James Winchester Wallace, OD in Delavan, WI

Dr James Winchester Wallace, OD is a medicare enrolled "Optometrist" provider in Delavan, Wisconsin. He went to Illinois College Of Optometry At Chicago and graduated in 1988 and has 36 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Shoptikal Llc and his current practice location is 1450 E Geneva St, Delavan, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 728-0068.

Dr James Winchester Wallace is licensed to practice in Wisconsin (license number 2267) 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 1285675827.

Contact Information

	Dr James Winchester Wallace, OD
	1450 E Geneva St, Delavan, WI 53115-2025
	(262) 728-0068
	(262) 728-0055

Map and Direction

Healthcare Provider's Profile

Full Name	Dr James Winchester Wallace
Gender	Male
Speciality	Optometry
Experience	36 Years
Location	1450 E Geneva St, Delavan, Wisconsin
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:

Dr James Winchester Wallace attended and graduated from Illinois College Of Optometry At Chicago in 1988

NPI Data:

NPI Number: 1285675827
Provider Enumeration Date: 06/08/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 9830102706
Enrollment ID: I20060718000251

Medical Identifiers

Medical identifiers for Dr James Winchester Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285675827	NPI	-	NPPES
3857500	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	2267 (Wisconsin)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Shoptikal Llc	1456684471	169

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 James Winchester Wallace allows following entities to bill medicare on his behalf.

Provider Name	Shoptikal Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1659937159 PECOS PAC ID: 1456684471 Enrollment ID: O20190606001553

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 James Winchester 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 James Winchester Wallace, OD 1450 E Geneva St, Delavan, WI 53115-2025 Ph: (262) 728-0068	Dr James Winchester Wallace, OD 1450 E Geneva St, Delavan, WI 53115-2025 Ph: (262) 728-0068

Reviews and Comments

Optometrist in Delavan, WI

Dr. John Kenneth Morrison, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1221 Phoenix St, Delavan, WI 53115 Phone: 262-728-2667 Fax: 262-728-3539
Dr. Nicole Lynn Swigart, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1221 Phoenix St, Delavan, WI 53115 Phone: 262-728-2667 Fax: 262-728-3539
Dr. Ronald Wayne Henson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1819 E Geneva St, Delavan, WI 53115 Phone: 262-740-7213 Fax: 262-740-7226
Dr. Anne-marie Christine Laschen, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1450 E Geneva St, Delavan, WI 53115 Phone: 262-728-0068
Morrison Eye Clinic, Sc Optometrist Medicare: Medicare Enrolled Practice Location: 1221 Phoenix St, Delavan, WI 53115 Phone: 262-728-2667 Fax: 262-728-3539
Delavan Family Eye Care Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1221 Phoenix St, Delavan, WI 53115 Phone: 262-728-2667

Dr James Winchester Wallace, OD - Medicare Optometrist in Delavan, WI