Dr Ryan Myles Wallace, - Medicare Psychiatry in New Haven, CT

Dr Ryan Myles Wallace, is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in New Haven, Connecticut. He went to University Of Washington School Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Providence Health And Services- Washington, Providence Health And Services Washington and his current practice location is 55 Lock St, New Haven, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 432-0290.

Dr Ryan Myles Wallace is licensed to practice in Connecticut (license number 55490) 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 1548695075.

Contact Information

Dr Ryan Myles Wallace,
55 Lock St,
New Haven, CT 06511
(203) 432-0290
Not Available

Map and Direction




Physician's Profile

Full NameDr Ryan Myles Wallace
GenderMale
SpecialityPsychiatry
Experience10 Years
Location55 Lock St, New Haven, Connecticut
Accepts Medicare AssignmentsYes. 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 Ryan Myles Wallace attended and graduated from University Of Washington School Of Medicine in 2014
  NPI Data:
  • NPI Number: 1548695075
  • Provider Enumeration Date: 09/03/2013
  • Last Update Date: 03/04/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2769703552
  • Enrollment ID: I20200917000602

Medical Identifiers

Medical identifiers for Dr Ryan Myles Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548695075NPI-NPPES
008056168MedicaidCT
008076123MedicaidCT
500000315MedicaidCT
004082286MedicaidCT
008022626MedicaidCT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084N0400XPsychiatry & Neurology - Neurology 55490 (Connecticut)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry 55490 (Connecticut)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Providence Alaska Medical CenterAnchorage, AKHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Providence Health And Services- Washington1557408176149
Providence Health And Services Washington216333574630

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 Ryan Myles Wallace allows following entities to bill medicare on his behalf.
Entity NameProvidence Health & Services Washington
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467547265
PECOS PAC ID: 2163335746
Enrollment ID: O20031110000525
Entity NameProvidence Health & Services- Washington
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093956278
PECOS PAC ID: 1557408176
Enrollment ID: O20091029000679

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 Ryan Myles 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 AddressPractice Location Address
Dr Ryan Myles Wallace,
1 Long Wharf Dr Ste 321,
New Haven, CT 06511-5946

Ph: (203) 781-4600
Dr Ryan Myles Wallace,
55 Lock St,
New Haven, CT 06511

Ph: (203) 432-0290

Reviews and Comments


Psychiatry & Neurology Doctors in New Haven, CT

Sharon Hasbani, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 136 Sherman Ave, New Haven, CT 06511
Phone: 203-562-8071    
Dr. Jennifer Buenzle Dwyer, M.D., PH.D.
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 20 York St # T-209, Yale-new Haven Hospital, New Haven, CT 06510
Phone: 203-433-2788    Fax: 203-688-5599
Neeharika Thottempudi, MBBS
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 20 York St, New Haven, CT 06510
Phone: 203-688-4242    
Dr. Nancy Dian Olson, M.D.
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 47 Trumbull St, New Haven, CT 06510
Phone: 203-785-1898    Fax: 203-281-3707
George J. Watstein, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 100 York St, Suite 2 A, New Haven, CT 06511
Phone: 203-624-6431    Fax: 203-624-6452
Dr. Sidney Hornor Phillips, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 234 Church St, Suite #300, New Haven, CT 06510
Phone: 203-865-8246    
Dr. Marc D. Schwartz, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 26 Trumbull St, New Haven, CT 06511
Phone: 203-562-9873    Fax: 203-624-2422

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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