Dr Michael Robert Wallace, DPM in Valdosta, GA

Dr Michael Robert Wallace, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Valdosta, Georgia. He graduated from medical school in 1989 and has 35 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Valdosta Foot And Ankle Clinic, P.c. and his current practice location is 2800 N Oak St, Valdosta, Georgia. You can reach out to his office (for appointments etc.) via phone at (229) 244-1211.

Dr Michael Robert Wallace is licensed to practice in Georgia (license number 599) 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 1295828416.

Contact Information

	Dr Michael Robert Wallace, DPM
	2800 N Oak St, Valdosta, GA 31602-1716
	(229) 244-1211
	(229) 244-2721

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Michael Robert Wallace
Gender	Male
Speciality	Podiatry
Experience	35 Years
Location	2800 N Oak St, Valdosta, Georgia
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 Michael Robert Wallace graduated from medical school in 1989

NPI Data:

NPI Number: 1295828416
Provider Enumeration Date: 10/02/2006
Last Update Date: 09/18/2013

Medicare PECOS Information:

PECOS PAC ID: 3870747488
Enrollment ID: I20130211000413

Medical Identifiers

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

Identifier	Type	State	Issuer
1295828416	NPI	-	NPPES
000480029131	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213ES0103X	Podiatrist - Foot & Ankle Surgery	599 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
South Georgia Medical Center	Valdosta, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Valdosta Foot And Ankle Clinic, P.c.	1658362439	2

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

Provider Name	Valdosta Foot & Ankle Clinic, P.c.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1699975375 PECOS PAC ID: 1658362439 Enrollment ID: O20040520000660

Provider Name	Valdosta Foot & Ankle Surgery Center, P.c.
Provider Type	Part B Supplier - Ambulatory Surgical Center
Provider Identifiers	NPI Number: 1912196494 PECOS PAC ID: 7517104482 Enrollment ID: O20130513000594

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 Michael 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
Dr Michael Robert Wallace, DPM 2800 N Oak St, Valdosta, GA 31602-1716 Ph: (229) 244-1211	Dr Michael Robert Wallace, DPM 2800 N Oak St, Valdosta, GA 31602-1716 Ph: (229) 244-1211

Reviews and Comments

Podiatrist in Valdosta, GA

Southern Podiatry Group, Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 2718 N Oak St, Valdosta, GA 31602 Phone: 229-242-3668
Dr. Nicholas Brian Dodson, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 4370 Kings Way, Suite B, Valdosta, GA 31602 Phone: 229-244-0070 Fax: 229-244-0080
Jpfo, Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2410 N Oak St, Valdosta, GA 31602 Phone: 229-293-8337 Fax: 229-293-8338
Thomas Foot And Ankle Clinic Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 410 Connell Rd Ste E, Valdosta, GA 31602 Phone: 229-244-5104 Fax: 229-242-1725
Foot & Ankle Institute Of South Georgia Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 4370 Kings Way Ste B, Valdosta, GA 31602 Phone: 229-244-0070 Fax: 229-244-0080
Dr. Erin Elizabeth Dodson, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 4370 Kings Way Ste B, Valdosta, GA 31602 Phone: 229-244-0070 Fax: 229-244-0080

Dr Michael Robert Wallace, DPM - Medicare Podiatrist in Valdosta, GA