| Dr Donald John Wallace, DC | |
|
127 Smithtown Blvd Ste 21, Nesconset, NY 11767-1736 | |
| (631) 360-0170 | |
| (631) 361-6221 |
| Full Name | Dr Donald John Wallace |
|---|---|
| Gender | Male |
| Speciality | Chiropractic |
| Experience | 29 Years |
| Location | 127 Smithtown Blvd Ste 21, Nesconset, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891856738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NR0400X | Chiropractor - Rehabilitation | X008217-1 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Long Island Chiropractic And Physical Therapy Pllc | 3779735691 | 5 |
| Provider Name | Long Island Chiropractic & Physical Therapy Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1417207028 PECOS PAC ID: 3779735691 Enrollment ID: O20121128000522 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Donald John Wallace, DC 127 Smithtown Blvd Ste 21, Nesconset, NY 11767-1736 Ph: (631) 360-0170 | Dr Donald John Wallace, DC 127 Smithtown Blvd Ste 21, Nesconset, NY 11767-1736 Ph: (631) 360-0170 |
Dr. Linda M Bocchichio, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 105 Lake Ave S, Nesconset, NY 11767 Phone: 631-979-9854 Fax: 631-366-0084 | |
Ralph Castiglione, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 1 Sara Ct, Nesconset, NY 11767 Phone: 631-265-5949 Fax: 631-265-5948 | |
True Chiropractic Pllc Chiropractor Medicare: Medicare Enrolled Practice Location: 62 Lake Ave S, Suite C, Nesconset, NY 11767 Phone: 631-584-8783 Fax: 631-584-8784 | |
Dr. Daniel James Holland, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 62 Lake Ave S, Suite C, Nesconset, NY 11767 Phone: 631-584-8783 Fax: 631-584-8784 | |
Chiropractic Associates Of Long Island Pc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 195 Smithtown Blvd, Ste 105, Nesconset, NY 11767 Phone: 631-724-1991 Fax: 631-724-1995 | |
Dr. Mark J Castiglione, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1 Sara Ct, Nesconset, NY 11767 Phone: 631-265-5949 Fax: 631-265-5948 | |
Kevin Michael Mcpartland, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 127 21 Smithtown Blvd, Nesconset, NY 11767 Phone: 631-360-0170 Fax: 631-361-6221 |