Samantha Wallace, DO - Medicare Family Practice in Springfield, MO

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Samantha Wallace, DO is a medicare enrolled "Family Medicine" physician in Springfield, Missouri. She graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Lester E Cox Medical Centers and her current practice location is 3801 S National Ave, Springfield, Missouri. You can reach out to her office (for appointments etc.) via phone at (417) 269-7728.

Samantha Wallace is licensed to practice in Missouri (license number 2015026152) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1821403593.

Contact Information

Samantha Wallace, DO
3801 S National Ave,
Springfield, MO 65807-5210
(417) 269-7728
(417) 269-7729

Map and Direction




Physician's Profile

Full NameSamantha Wallace
GenderFemale
SpecialityFamily Practice
Experience10 Years
Location3801 S National Ave, Springfield, Missouri
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Samantha Wallace graduated from medical school in 2014
  NPI Data:
  • NPI Number: 1821403593
  • Provider Enumeration Date: 06/21/2014
  • Last Update Date: 11/10/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3971874991
  • Enrollment ID: I20170809000339

Medical Identifiers

Medical identifiers for Samantha Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821403593NPI-NPPES
1821403593MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 2015026152 (Missouri)Primary
207Q00000XFamily Medicine 2014019168 (Missouri)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Cox Medical CentersSpringfield, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lester E Cox Medical Centers5799787784195

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. Samantha Wallace allows following entities to bill medicare on her behalf.
Entity NameOzarks Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831115641
PECOS PAC ID: 3870491863
Enrollment ID: O20040209001035
Entity NameCox-monett Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669687125
PECOS PAC ID: 0345236667
Enrollment ID: O20040521000080
Entity NameSkaggs Community Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861423683
PECOS PAC ID: 5092624320
Enrollment ID: O20040811000689
Entity NameLester E Cox Medical Centers
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902969272
PECOS PAC ID: 5799787784
Enrollment ID: O20070215000622
Entity NameCox Barton County Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174166177
PECOS PAC ID: 8820329782
Enrollment ID: O20200116001299

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. Samantha 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
Samantha Wallace, DO
Po Box 802843,
Kansas City, MO 64180-2843

Ph: (417) 269-5712		Samantha Wallace, DO
3801 S National Ave,
Springfield, MO 65807-5210

Ph: (417) 269-7728

Reviews and Comments


Family Medicine Doctors in Springfield, MO

Shalvinder Kaur Seehra, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 3525 E Battlefield St, Springfield, MO 65809
Phone: 417-269-1499    Fax: 417-269-1459
Harwinder K Dhanoa,
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1540 E Evergreen St, Springfield, MO 65803
Phone: 417-823-2900    
Thomas E Dahlberg, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3322 S Campbell Ave Ste T-1, Springfield, MO 65807
Phone: 417-220-4480    Fax: 417-414-0017
Dr. John H Brown, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3231 S National Ave, Suite 280, Springfield, MO 65807
Phone: 417-885-0834    Fax: 417-888-6763
Dr. Jay L Sparks, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3231 S National Ave, Suite 220, Springfield, MO 65807
Phone: 417-820-7450    Fax: 417-820-7455
Dr. Conrad Mitchell Bajor, D.O.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1235 E Cherokee St, Springfield, MO 65804
Phone: 417-820-2600    
Dr. William Russell Detten, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1530 E Republic Rd, Springfield, MO 65804
Phone: 417-269-1362    Fax: 417-269-1372

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.