Dr Bradley A Wallace, MD - Medicare Neurosurgery in Jacksonville, FL

Dr Bradley A Wallace, MD is a medicare enrolled "Neurological Surgery" physician in Jacksonville, Florida. He went to University Of Arkansas College Of Medicine and graduated in 1998 and has 26 years of diverse experience with area of expertise as Neurosurgery. He is a member of the group practice Lyerly Baptist Inc and his current practice location is 800 Prudential Dr, Tower B, 11th Floor, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 388-6518.

Dr Bradley A Wallace is licensed to practice in Florida (license number ME91779) 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 1134160161.

Contact Information

Dr Bradley A Wallace, MD
800 Prudential Dr, Tower B, 11th Floor,
Jacksonville, FL 32207-8202
(904) 388-6518
(904) 384-1005

Map and Direction




Physician's Profile

Full NameDr Bradley A Wallace
GenderMale
SpecialityNeurosurgery
Experience26 Years
Location800 Prudential Dr, Jacksonville, Florida
Accepts Medicare AssignmentsYes. 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 Bradley A Wallace attended and graduated from University Of Arkansas College Of Medicine in 1998
  NPI Data:
  • NPI Number: 1134160161
  • Provider Enumeration Date: 06/09/2006
  • Last Update Date: 06/09/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 9436155009
  • Enrollment ID: I20061005000183

Medical Identifiers

Medical identifiers for Dr Bradley A Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134160161NPI-NPPES
2744978500MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207T00000XNeurological Surgery ME91779 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Florida First Care IncOrange park, FLHome health agency
Baptist Health Medical Center - JacksonvilleJacksonville, FLHospital
Baptist Medical Center BeachesJacksonville beach, FLHospital
Baptist Medical Center - NassauFernandina beach, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lyerly Baptist Inc983011222640

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 Bradley A Wallace allows following entities to bill medicare on his behalf.
Entity NameLyerly Baptist Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851347801
PECOS PAC ID: 9830112226
Enrollment ID: O20060111001171

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 Bradley A 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 AddressPractice Location Address
Dr Bradley A Wallace, MD
800 Prudential Dr, Tower B, 11th Floor,
Jacksonville, FL 32207-8202

Ph: (904) 388-6518
Dr Bradley A Wallace, MD
800 Prudential Dr, Tower B, 11th Floor,
Jacksonville, FL 32207-8202

Ph: (904) 388-6518

Reviews and Comments


Neurological Surgery Doctors in Jacksonville, FL

Dr. Dunbar Alcindor, M.D
Neurological Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 580 W 8th St, Tower 1 -8th Floor, Jacksonville, FL 32209
Phone: 904-244-9052    
Clarence Watridge, MD
Neurological Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224
Phone: 904-953-2000    
Hector Edward James, MD
Neurological Surgery
Medicare: Medicare Enrolled
Practice Location: 836 Prudential Dr, Ufjp Neurosurgery - Pediatrics, Jacksonville, FL 32207
Phone: 904-398-5201    Fax: 904-244-3425
Carlos Perez Vega, MD
Neurological Surgery
Medicare: Medicare Enrolled
Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224
Phone: 904-953-2000    
Dr. Bernard H. Guiot, M.D.
Neurological Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 14810 Old Saint Augustine Rd Ste 207, Jacksonville, FL 32258
Phone: 904-217-7450    Fax: 904-217-7483
Rachel Stein, DO
Neurological Surgery
Medicare: Medicare Enrolled
Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224
Phone: 904-953-2000    
Dr. Amos Olabisi Dare, M.D.
Neurological Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 544 Cesery Blvd, Suite 310, Jacksonville, FL 32211
Phone: 904-743-9222    Fax: 904-743-9225

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.