Dr Kenneth Wallace, DC in Titusville, FL - Medicare Chiropractor Provider

Dr Kenneth Wallace, DC is a medicare enrolled "Chiropractor" provider in Titusville, Florida. His current practice location is 119 S Park Ave, Titusville, Florida. You can reach out to his office (for appointments etc.) via phone at (321) 226-1115.

Dr Kenneth Wallace is licensed to practice in Florida (license number CH 11302) 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 1952706673.

Contact Information

	Dr Kenneth Wallace, DC
	119 S Park Ave, Titusville, FL 32796-3377
	(321) 226-1115
	(321) 251-6091

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kenneth Wallace
Gender	Male
Speciality	Chiropractor
Location	119 S Park Ave, Titusville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952706673
Provider Enumeration Date: 10/23/2014
Last Update Date: 10/23/2014

Medicare PECOS Information:

PECOS PAC ID: 8729520440
Enrollment ID: I20240610003640

Medical Identifiers

Medical identifiers for Dr Kenneth Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952706673	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	CH 11302 (Florida)	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. Dr Kenneth Wallace allows following entities to bill medicare on his behalf.

Provider Name	Wellspring Health Orlando, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1760930325 PECOS PAC ID: 5193093490 Enrollment ID: O20170608002775

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. Dr Kenneth 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 Address	Practice Location Address
Dr Kenneth Wallace, DC 119 S Park Ave, Titusville, FL 32796-3377 Ph: (321) 226-1115	Dr Kenneth Wallace, DC 119 S Park Ave, Titusville, FL 32796-3377 Ph: (321) 226-1115

Reviews and Comments

Chiropractor in Titusville, FL

Mrs. Joanielee Kriz, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 2203 Garden Street, Titusville, FL 32796 Phone: 321-269-1999 Fax: 321-264-2440
Cross Waves Family Chiropractic Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2000 Cheney Hwy Ste 103, Box #136, Titusville, FL 32780 Phone: 321-209-3220
Titusville Chiropractic & Injury Center, Inc. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 850 Century Medical Drive, Titusville, FL 32796 Phone: 321-226-1115 Fax: 321-251-6091
Active Spine Center, Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 2215 Garden St, Titusville, FL 32796 Phone: 213-268-2210 Fax: 321-325-2100
Titusville Total Healthcare Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 1901 Jess Parrish Ct, Titusville, FL 32796 Phone: 321-268-1999 Fax: 321-264-2440
Dr. Richard Lynn Wurzler, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 1901 Jess Parrish Ct, Titusville, FL 32796 Phone: 321-268-1999 Fax: 321-264-2440
Living Well Chiropractic Plc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1135 S Washington Ave Ste B, Titusville, FL 32780 Phone: 321-408-0440 Fax: 321-577-0200

Dr Kenneth Wallace, DC - Medicare Chiropractor in Titusville, FL