Dr Charles Thomas Wallack, DPM is a medicare enrolled "Podiatrist" provider in Lincoln Park, New Jersey. He went to Temple University School Of Podiatric Medicine and graduated in 1982 and has 42 years of diverse experience with area of expertise as Podiatry. His current practice location is
10 Chapel Hill Rd, Lincoln Park, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(973) 694-5632.
Dr Charles Thomas Wallack is licensed to practice in New Jersey (license number 25MD00140200) 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 1265404198.
Healthcare Provider's Profile
| Full Name | Dr Charles Thomas Wallack |
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| Gender | Male |
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| Speciality | Podiatry |
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| Experience | 42 Years |
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| Location | 10 Chapel Hill Rd, Lincoln Park, New Jersey |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Charles Thomas Wallack attended and graduated from Temple University School Of Podiatric Medicine in 1982
NPI Data:
- NPI Number: 1265404198
- Provider Enumeration Date: 02/04/2006
- Last Update Date: 01/14/2010
Medicare PECOS Information:
- PECOS PAC ID: 3476680984
- Enrollment ID: I20100414000770
Medical Identifiers
Medical identifiers for Dr Charles Thomas Wallack such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265404198 | NPI | - | NPPES |
| 0103711000 | Other | NJ | AMERIHEALTH |
| 1376004-01 | Medicaid | NJ | |
| P3601404 | Other | NJ | OXFORD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213E00000X | Podiatrist | 25MD00140200 (New Jersey) | Primary |
| 213ES0131X | Podiatrist - Foot Surgery | 25MD00140200 (New Jersey) | Secondary |
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 Charles Thomas Wallack 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 Charles Thomas Wallack, DPM
10 Chapel Hill Rd,
Lincoln Park, NJ 07035-1719
Ph: (973) 694-5632 | Dr Charles Thomas Wallack, DPM
10 Chapel Hill Rd,
Lincoln Park, NJ 07035-1719
Ph: (973) 694-5632 |
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