Randy Lamar Wallace Jr, MD in Akron, OH - Medicare Emergency Medicine

Randy Lamar Wallace Jr, MD is a medicare enrolled "Emergency Medicine" physician in Akron, Ohio. He graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Emory Medical Care Foundation Inc and his current practice location is 400 Wabash Ave, Akron, Ohio. You can reach out to his office (for appointments etc.) via phone at (330) 344-6000.

Randy Lamar Wallace Jr is licensed to practice in Ohio (license number 35126112) 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 1699033449.

Contact Information

	Randy Lamar Wallace Jr, MD
	400 Wabash Ave, Akron, OH 44307-2433
	(330) 344-6000
	Not Available

Map and Direction

Physician's Profile

Full Name	Randy Lamar Wallace Jr
Gender	Male
Speciality	Emergency Medicine
Experience	18 Years
Location	400 Wabash Ave, Akron, Ohio
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:

Randy Lamar Wallace Jr graduated from medical school in 2006

NPI Data:

NPI Number: 1699033449
Provider Enumeration Date: 04/30/2012
Last Update Date: 03/07/2016

Medicare PECOS Information:

PECOS PAC ID: 6800035882
Enrollment ID: I20190105000000

Medical Identifiers

Medical identifiers for Randy Lamar Wallace Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699033449	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	35126112 (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Grady Memorial Hospital	Atlanta, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Emory Medical Care Foundation Inc	4981501814	801

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. Randy Lamar Wallace Jr allows following entities to bill medicare on his behalf.

Entity Name	The Emory Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503

Entity Name	Emory Medical Care Foundation Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063452381 PECOS PAC ID: 4981501814 Enrollment ID: O20031217000968

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. Randy Lamar Wallace Jr 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
Randy Lamar Wallace Jr, MD 1 Akron General Ave, Akron, OH 44307-2432 Ph: () -	Randy Lamar Wallace Jr, MD 400 Wabash Ave, Akron, OH 44307-2433 Ph: (330) 344-6000

Reviews and Comments

Emergency Medicine Doctors in Akron, OH

Dr. Jason Dean Eidahl, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 525 E Market St, Akron, OH 44304 Phone: 330-375-3000
Sharhabeel Jwayyed, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 525 E Market St, Akron, OH 44304 Phone: 330-375-3369 Fax: 330-375-3769
Ryan James Reichert, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1 Perkins Square, Akron Childrens Hospital, Akron, OH 44302 Phone: 330-543-1000
Jack H Mitstifer, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 Wabash Ave, Akron, OH 44307 Phone: 330-344-1799 Fax: 330-253-8293
Mary Jo Mcmullen, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 400 Wabash Ave, Akron, OH 44307 Phone: 330-344-1799 Fax: 330-253-8293
Carlynn Fulp, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Akron General Ave, Akron, OH 44307 Phone: 330-344-6000
Gregory Mancini, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Akron General Ave, Akron, OH 44307 Phone: 330-344-6000

Randy Lamar Wallace Jr, MD - Medicare Emergency Medicine in Akron, OH