Wallace Mcclure, MD is a
General Practice physician based in Waverly, Tennessee. Wallace Mcclure is licensed to practice in Tennessee (license number MD4230) and his current practice location is 450 Powers Blvd., Waverly, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(931) 296-2054.
NPI number for Wallace Mcclure is 1407266653 and his current mailing address is 450 Powers Blvd., Waverly, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1407266653.
Physician's Profile
| Full Name | Wallace Mcclure |
|---|
| Gender | Male |
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| Speciality | General Practice |
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| Location | 450 Powers Blvd., Waverly, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1407266653
- Provider Enumeration Date: 04/28/2014
- Last Update Date: 04/28/2014
Medical Identifiers
Medical identifiers for Wallace Mcclure such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407266653 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | MD4230 (Tennessee) | 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. Wallace Mcclure is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Wallace Mcclure, MD
450 Powers Blvd.,
Waverly, TN 37185
Ph: (931) 296-2054 | Wallace Mcclure, MD
450 Powers Blvd.,
Waverly, TN 37185
Ph: (931) 296-2054 |
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