Dr Eric Lee Wallace, MD - Medicare General Surgery in Cookeville, TN

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Dr Eric Lee Wallace, MD is a medicare enrolled "Surgery" physician in Cookeville, Tennessee. He went to Vanderbilt University School Of Medicine and graduated in 2001 and has 24 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Middle Tennessee Surgical Specialists, Llc and his current practice location is 145 W 4th St Ste 201, Cookeville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (931) 783-5515.

Dr Eric Lee Wallace is licensed to practice in Tennessee (license number 71205) 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 1780614529.

Contact Information

Dr Eric Lee Wallace, MD
145 W 4th St Ste 201,
Cookeville, TN 38501-2476
(931) 783-5515
(931) 783-5513

Map and Direction




Physician's Profile

Full NameDr Eric Lee Wallace
GenderMale
SpecialityGeneral Surgery
Experience24 Years
Location145 W 4th St Ste 201, Cookeville, Tennessee
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 Eric Lee Wallace attended and graduated from Vanderbilt University School Of Medicine in 2001
  NPI Data:
  • NPI Number: 1780614529
  • Provider Enumeration Date: 07/04/2006
  • Last Update Date: 10/14/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 1759384852
  • Enrollment ID: I20241126003585

Medical Identifiers

Medical identifiers for Dr Eric Lee Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780614529NPI-NPPES
Q096326MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 71205 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Cookeville Regional Medical CenterCookeville, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Middle Tennessee Surgical Specialists, Llc91330147078

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 Eric Lee Wallace allows following entities to bill medicare on his behalf.
Entity NameMiddle Tennessee Surgical Specialists, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134212640
PECOS PAC ID: 9133014707
Enrollment ID: O20040220001055

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 Eric Lee 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 Eric Lee Wallace, MD
140 W 7th St,
Cookeville, TN 38501-1726

Ph: (931) 783-5515		Dr Eric Lee Wallace, MD
145 W 4th St Ste 201,
Cookeville, TN 38501-2476

Ph: (931) 783-5515

Reviews and Comments


Surgery Doctors in Cookeville, TN

Mr. Michael Alexander Sywak, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 222 W 4th St Ste 201, Cookeville, TN 38501
Phone: 931-783-4269    Fax: 931-372-0401
Daniel Lee Howell Jr., M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 145 W 4th St Ste 201, Cookeville, TN 38501
Phone: 931-783-5515    
Chinmay Sarvottam Majmundar, M.D. F.A.C.S.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 145 W 4th St Ste 102, Cookeville, TN 38501
Phone: 931-783-5515    
Dr. Dale E Douglas, M.D.
Surgery
Medicare: Medicare Enrolled
Practice Location: 701 County Services Dr, Cookeville, TN 38501
Phone: 931-528-2531    Fax: 931-526-7451
Dr. George L Ivey Iii, M.D.
Surgery
Medicare: Medicare Enrolled
Practice Location: 701 County Services Dr, Cookeville, TN 38501
Phone: 931-528-2531    Fax: 931-526-7453

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.