Audrey Wallace, MD in Ocala, FL - Medicare Radiology

Audrey Wallace, MD is a medicare enrolled "Radiology - Radiation Oncology" physician in Ocala, Florida. Her current practice location is 2020 Se 17th St, Ocala, Florida. You can reach out to her office (for appointments etc.) via phone at (352) 732-0277.

Audrey Wallace is licensed to practice in Florida (license number ME136800) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1396185666.

Contact Information

	Audrey Wallace, MD
	2020 Se 17th St, Ocala, FL 34471-4118
	(352) 732-0277
	Not Available

Map and Direction

Physician's Profile

Full Name	Audrey Wallace
Gender	Female
Speciality	Radiology - Radiation Oncology
Location	2020 Se 17th St, Ocala, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396185666
Provider Enumeration Date: 07/01/2013
Last Update Date: 05/16/2025

Medicare PECOS Information:

PECOS PAC ID: 6002108461
Enrollment ID: I20160706001428

Medical Identifiers

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

Identifier	Type	State	Issuer
1396185666	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0001X	Radiology - Radiation Oncology	33689 (Alabama)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
2085R0001X	Radiology - Radiation Oncology	ME136800 (Florida)	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. Audrey 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
Audrey Wallace, MD 2020 Se 17th St, Ocala, FL 34471-4118 Ph: (352) 732-0277	Audrey Wallace, MD 2020 Se 17th St, Ocala, FL 34471-4118 Ph: (352) 732-0277

Reviews and Comments

Radiology Doctors in Ocala, FL

Ralf Richard Barckhausen, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1818 Sw 15th Ave, Ocala, FL 34474 Phone: 352-671-4300 Fax: 352-671-4393
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Caleb Ruben Rivera, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1818 Sw 15th Ave, Ocala, FL 34474 Phone: 352-671-4300 Fax: 352-671-4393
Dr. Lourdes I Montes, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 1901 Se 18th Ave Ste 200, Ocala, FL 34471 Phone: 352-671-4252
Michael David Sombeck, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 11363 Sw 95th Circle, Suite 100, Ocala, FL 34481 Phone: 352-350-8272 Fax: 352-350-8275

Audrey Wallace, MD - Medicare Radiology in Ocala, FL