Eric Wallace, PHD - Medicare Psychologist in Shaker Heights, OH

Eric Wallace, PHD is a medicare enrolled "Psychologist - Counseling" provider in Shaker Heights, Ohio. His current practice location is 22001 Fairmount Blvd, Shaker Heights, Ohio. You can reach out to his office (for appointments etc.) via phone at (216) 320-8456.

Eric Wallace is licensed to practice in Ohio (license number P.07864) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1912409160.

Contact Information

Eric Wallace, PHD
22001 Fairmount Blvd,
Shaker Heights, OH 44118-4819
(216) 320-8456
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameEric Wallace
GenderMale
SpecialityPsychologist - Counseling
Location22001 Fairmount Blvd, Shaker Heights, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1912409160
  • Provider Enumeration Date: 03/05/2018
  • Last Update Date: 03/20/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 1052732260
  • Enrollment ID: I20200526001569

Medical Identifiers

Medical identifiers for Eric Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912409160NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC1900XPsychologist - Counseling P.07864 (Ohio)Primary

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. Eric Wallace allows following entities to bill medicare on his behalf.
Entity NameState Of Ohio Office Of Budget And Management State Accounting
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023082716
PECOS PAC ID: 0143133181
Enrollment ID: O20031202000209

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. Eric 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
Eric Wallace, PHD
22001 Fairmount Blvd,
Shaker Heights, OH 44118-4819

Ph: (216) 320-8456
Eric Wallace, PHD
22001 Fairmount Blvd,
Shaker Heights, OH 44118-4819

Ph: (216) 320-8456

Reviews and Comments


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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.

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