| Barrett Jeffrey Wallis, MD | |
|
6152 W Corporate Oaks Dr, Crystal River, FL 34429-8722 | |
| (352) 564-3900 | |
| (352) 564-3906 |
| Full Name | Barrett Jeffrey Wallis |
|---|---|
| Gender | Male |
| Speciality | Gastroenterology |
| Experience | 47 Years |
| Location | 6152 W Corporate Oaks Dr, Crystal River, Florida |
| 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 |
|---|---|---|---|
| 1740220938 | NPI | - | NPPES |
| 12042524 | Other | NY | MULTIPLAN |
| 333619 | Other | FL | AVMED |
| 001690000 | Medicaid | FL | |
| 146VV | Other | FL | BCBS OF FLORIDA |
| 1299092 | Other | NY | GHI GROUP HEALTH INC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 35.088718 (Ohio) | Secondary |
| 207RG0100X | Internal Medicine - Gastroenterology | ME48685 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Oak Hill Hospital | Brooksville, FL | Hospital |
| Bayfront Health Seven Rivers | Crystal river, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| B Jeffrey Wallis Md Pa | 0446423784 | 2 |
| Entity Name | B Jeffrey Wallis Md Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003199076 PECOS PAC ID: 0446423784 Enrollment ID: O20111101000354 |
| Mailing Address | Practice Location Address |
|---|---|
| Barrett Jeffrey Wallis, MD 835 Se 1st Ct, Crystal River, FL 34429-4612 Ph: (352) 400-8000 | Barrett Jeffrey Wallis, MD 6152 W Corporate Oaks Dr, Crystal River, FL 34429-8722 Ph: (352) 564-3900 |
Dr. Purnachander R Bikkasani, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 6410 W Gulf To Lake Hwy, Crystal River, FL 34429 Phone: 352-563-2450 Fax: 352-563-2512 | |
Dr. Lakshmipathi R Reddi, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 6410 W Gulf To Lake Hwy, Crystal River, FL 34429 Phone: 352-563-2450 Fax: 352-563-2512 | |
Dr. Angela Acevedo, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 6202 W Corporate Oaks Dr, Crystal River, FL 34429 Phone: 352-795-9697 Fax: 352-795-9698 | |
Mahrous Abo-hassan, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 5616 W Norvell Bryant Hwy, Crystal River, FL 34429 Phone: 352-795-1999 Fax: 352-795-2269 | |
Dr. Craig Warren Englund, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 770 Se 5th Ter, Crystal River, FL 34429 Phone: 352-795-6674 | |
Dr. Sunoj Abraham, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 5616 W Norvell Bryant Hwy, Crystal River, FL 34429 Phone: 352-795-1999 Fax: 352-795-2269 | |
Srinivas Sanka, DO Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 730 Se 5th Terrace, Crystal River, FL 34429 Phone: 352-699-2040 Fax: 352-699-2042 |