Dr Lee Travis Wallace, PHD in Austin, TX - Medicare Psychologist Provider

Dr Lee Travis Wallace, PHD is a medicare enrolled "Psychologist - Clinical" provider in Austin, Texas. His current practice location is 13740 Hwy 183, #r-3, Austin, Texas. You can reach out to his office (for appointments etc.) via phone at (512) 331-1415.

Dr Lee Travis Wallace is licensed to practice in Texas (license number 22772) 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 1649286949.

Contact Information

	Dr Lee Travis Wallace, PHD
	13740 Hwy 183, #r-3, Austin, TX 78750
	(512) 331-1415
	(512) 918-2325

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Lee Travis Wallace
Gender	Male
Speciality	Psychologist - Clinical
Location	13740 Hwy 183, Austin, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649286949
Provider Enumeration Date: 07/31/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 5991754509
Enrollment ID: I20050120000420

Medical Identifiers

Medical identifiers for Dr Lee Travis Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649286949	NPI	-	NPPES
00A75L	Other		BLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	22772 (Texas)	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. Dr Lee Travis 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 Lee Travis Wallace, PHD 13740 Hwy 183, #r-3, Austin, TX 78750 Ph: (512) 331-1415	Dr Lee Travis Wallace, PHD 13740 Hwy 183, #r-3, Austin, TX 78750 Ph: (512) 331-1415

Reviews and Comments

Psychologist in Austin, TX

Dr. Kristie Dawn Engel, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 11701 Bee Caves Rd Ste 213, Austin, TX 78738 Phone: 512-572-4673 Fax: 512-355-6737
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David Robert Heckler, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 1600 W 38th St Ste 212, Austin, TX 78731 Phone: 512-324-3315
Anna Claire Allen, LPA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8103 Brodie Ln Ste 1, Austin, TX 78745 Phone: 512-282-2282 Fax: 512-282-2272
Dr. Scott Mackenzie Steiner, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2901 Montopolis Dr, Austin, TX 78741 Phone: 512-389-6702 Fax: 512-389-6544
Sarah Jane Jackson, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 4131 Spicewood Springs Rd, Suite D3, Austin, TX 78759 Phone: 512-289-5486 Fax: 512-342-0421
Dr. Beverly Lynn Alexander, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3407 W Slaughter Ln, Suite A, Austin, TX 78748 Phone: 512-851-2225 Fax: 512-851-2226

Dr Lee Travis Wallace, PHD - Medicare Psychologist in Austin, TX