| Thomas Everett Wallace, MD | |
|
740 S Limestone, L543, Kentucky Clinic, Lexington, KY 40536-0284 | |
| (859) 323-5045 | |
| (859) 257-2418 |
| Full Name | Thomas Everett Wallace |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Critical Care Medicine |
| Location | 740 S Limestone, Lexington, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700822822 | NPI | - | NPPES |
| 33270961 | Medicaid | TN | |
| 4123936 | Other | TN | BCBS OF TENNESSEE |
| 4158379 | Other | TN | BLUE CROSS |
| 201256750 | Medicaid | IN | |
| P00317082 | Other | TN | RAILROAD MEDICARE |
| 3327097 | Medicaid | TN | |
| 30707611 | Medicaid | TN |
| Entity Name | Deaconess Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427097443 PECOS PAC ID: 9032021431 Enrollment ID: O20040115000129 |
| Entity Name | Select Specialty Hospital - Evansville Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750380739 PECOS PAC ID: 9830295864 Enrollment ID: O20120213000034 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Everett Wallace, MD 740 S Limestone, L534, Kentucky Clnic, Lexington, KY 40536-0284 Ph: (859) 323-5045 | Thomas Everett Wallace, MD 740 S Limestone, L543, Kentucky Clinic, Lexington, KY 40536-0284 Ph: (859) 323-5045 |
Mr. Fabrizio Canepa Escaro, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: Uk Division Of Hospital Medicine 800 Rose, Lexington, KY 40536 Phone: 859-323-6047 Fax: 859-257-3873 | |
Dr. Moneera Nur Haque, MD Critical Care Medicine Medicare: Medicare Enrolled Practice Location: 125 E Maxwell St Ste 200, Lexington, KY 40508 Phone: 859-323-3231 Fax: 859-257-9461 | |
Dr. Indhira Bisono Jimenez, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 211 Fountain Ct, Suite 220, Lexington, KY 40509 Phone: 859-629-7265 Fax: 859-629-7266 | |
Deepali Pandey, MBBS Critical Care Medicine Medicare: Medicare Enrolled Practice Location: 800 Rose St # Cc-402, Lexington, KY 40536 Phone: 650-804-3111 | |
Dr. Dorothy Mccord Maes, MD Critical Care Medicine Medicare: Medicare Enrolled Practice Location: 1000 S Limestone, Lexington, KY 40536 Phone: 859-323-9057 Fax: 859-323-9502 | |
Dr. Stephen M Mooney, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 2101 Nicholasville Rd Ste 304, Lexington, KY 40503 Phone: 859-277-5771 Fax: 859-276-4622 | |
Michael Han Young, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 740 S Limestone, Lexington, KY 40536 Phone: 859-323-5544 Fax: 859-257-9286 |