Dr Andrew Blake Wallace, MD in Saint Louis, MO - Medicare Diagnostic Radiology

Dr Andrew Blake Wallace, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Saint Louis, Missouri. He went to University Of North Carolina At Chapel Hill School Of Medicine and graduated in 2013 and has 12 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Delaney Radiologists Group Pllc, Wilmington Health Pllc, Delaney Radiologists Pa and his current practice location is 510 S Kingshighway Blvd, Mallinckrodt Institue Of Radiology, Saint Louis, Missouri. You can reach out to his office (for appointments etc.) via phone at (314) 362-2978.

Dr Andrew Blake Wallace is licensed to practice in North Carolina (license number 2020-04583) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1740626654.

Contact Information

	Dr Andrew Blake Wallace, MD
	510 S Kingshighway Blvd, Mallinckrodt Institue Of Radiology, Saint Louis, MO 63110-1016
	(314) 362-2978
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Andrew Blake Wallace
Gender	Male
Speciality	Diagnostic Radiology
Experience	12 Years
Location	510 S Kingshighway Blvd, Saint Louis, Missouri
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Andrew Blake Wallace attended and graduated from University Of North Carolina At Chapel Hill School Of Medicine in 2013

NPI Data:

NPI Number: 1740626654
Provider Enumeration Date: 05/18/2013
Last Update Date: 05/05/2021

Medicare PECOS Information:

PECOS PAC ID: 1254552243
Enrollment ID: I20210510001536

Medical Identifiers

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

Identifier	Type	State	Issuer
1740626654	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	2020-04583 (North Carolina)	Primary
2085R0202X	Radiology - Diagnostic Radiology	2014013932 (Missouri)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
New Hanover Regional Medical Center	Wilmington, NC	Hospital
Novant Health Brunswick Medical Center	Supply, NC	Hospital
Pender Memorial Hospital	Burgaw, NC	Hospital
J Arthur Dosher Memorial Hospital	Southport, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Delaney Radiologists Group Pllc	4981684875	48
Wilmington Health Pllc	6103722509	307
Delaney Radiologists Pa	6305813684	50

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 Andrew Blake Wallace allows following entities to bill medicare on his behalf.

Entity Name	Wilmington Health Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881632339 PECOS PAC ID: 6103722509 Enrollment ID: O20031208000800

Entity Name	Delaney Radiologists Group Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912982166 PECOS PAC ID: 4981684875 Enrollment ID: O20040721001496

Entity Name	Delaney Radiologists Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902881147 PECOS PAC ID: 6305813684 Enrollment ID: O20040915000814

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 Andrew Blake 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 Andrew Blake Wallace, MD 1025 Medical Center Dr, Wilmington, NC 28401-7354 Ph: (910) 762-3882	Dr Andrew Blake Wallace, MD 510 S Kingshighway Blvd, Mallinckrodt Institue Of Radiology, Saint Louis, MO 63110-1016 Ph: (314) 362-2978

Reviews and Comments

Radiology Doctors in Saint Louis, MO

Dr. Hilton I Price, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 11133 Dunn Rd, Dept Radiology, Saint Louis, MO 63136 Phone: 314-362-7200 Fax: 314-747-4189
Benjamin Lee, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 510 S Kingshighway Blvd, Saint Louis, MO 63110 Phone: 314-362-7092
Dr. Kyle Anthony O'blanc, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1825 High Oak Rd, Saint Louis, MO 63131 Phone: 504-710-8234
Dr. Michael D. Bazzani, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 10010 Kennerly Rd, Saint Louis, MO 63128 Phone: 314-525-1165 Fax: 314-525-1485
Dr. Mahad Anwaar Minhas, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 510 S Kingshighway Blvd, Dept Radiology, Saint Louis, MO 63110 Phone: 314-362-7200 Fax: 314-747-4189
Dr. Chelsea Renee Schmitt, MD Radiology Medicare: Medicare Enrolled Practice Location: 510 S Kingshighway Blvd, Dept Radiology, Saint Louis, MO 63110 Phone: 314-362-7200 Fax: 314-747-4189
Dr. Ziad Walid Tarcha, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 510 S Kingshighway Blvd, Dept Radiology, Saint Louis, MO 63110 Phone: 314-362-7200 Fax: 314-747-4189

Dr Andrew Blake Wallace, MD - Medicare Diagnostic Radiology in Saint Louis, MO