Wayne Carroll Wallace, DDS in Cincinnati, OH

Wayne Carroll Wallace, DDS is a medicare enrolled "Dentist - General Practice" provider in Cincinnati, Ohio. His current practice location is 3972 Red Bank Rd, Suite E, Cincinnati, Ohio. You can reach out to his office (for appointments etc.) via phone at (513) 561-9900.

Wayne Carroll Wallace is licensed to practice in Ohio (license number 19098) 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 1154460459.

Contact Information

	Wayne Carroll Wallace, DDS
	3972 Red Bank Rd, Suite E, Cincinnati, OH 45227-3425
	(513) 561-9900
	(513) 561-9902

Map and Direction

Healthcare Provider's Profile

Full Name	Wayne Carroll Wallace
Gender	Male
Speciality	Dentist - General Practice
Location	3972 Red Bank Rd, Cincinnati, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154460459
Provider Enumeration Date: 02/05/2007
Last Update Date: 11/06/2014

Medicare PECOS Information:

PECOS PAC ID: 7416256235
Enrollment ID: I20170802003559

Medical Identifiers

Medical identifiers for Wayne Carroll Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154460459	NPI	-	NPPES
0815854	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	19098 (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. Wayne Carroll Wallace allows following entities to bill medicare on his behalf.

Entity Name	Mobile Medical Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689620015 PECOS PAC ID: 5890765481 Enrollment ID: O20040730000013

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. Wayne Carroll 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
Wayne Carroll Wallace, DDS 3972 Red Bank Rd, Suite E, Cincinnati, OH 45227-3425 Ph: (513) 561-9900	Wayne Carroll Wallace, DDS 3972 Red Bank Rd, Suite E, Cincinnati, OH 45227-3425 Ph: (513) 561-9900

Reviews and Comments

Dentist in Cincinnati, OH

Dr. Ashley Rae Mencarelli, DMD, MS Dentist Medicare: Medicare Enrolled Practice Location: 1163 Fehl Ln, Cincinnati, OH 45230 Phone: 513-231-0041
Dr. Rikul Dinkerkumar Patel, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 4998 Glenway Ave, Cincinnati, OH 45238 Phone: 513-251-5500
Matthew Philip Orlando, Dentist Medicare: Not Enrolled in Medicare Practice Location: 6059 Bridgetown Rd, Cincinnati, OH 45248 Phone: 513-598-6700
Christina Anne Chen, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 234 Goodman St, Cincinnati, OH 45219 Phone: 513-584-6660 Fax: 513-584-6661
Dr. Celeana Lambing, DDS Dentist Medicare: Medicare Enrolled Practice Location: 3650 Muddy Creek Rd Ste 200, Cincinnati, OH 45238 Phone: 513-434-1987
Amanda Claire Moberly, DMD Dentist Medicare: Medicare Enrolled Practice Location: 4627 Aicholtz Rd, Cincinnati, OH 45244 Phone: 513-753-2821
Dr. Joseph Paul Mayer Jr., D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2808 Erie Ave, Cincinnati, OH 45208 Phone: 513-321-5545 Fax: 513-321-3008

Wayne Carroll Wallace, DDS - Medicare Dentist in Cincinnati, OH