Jeffrey Leigh Wallace, MD is a medicare enrolled "Surgery" physician in Fairhope, Alabama. He went to University Of Tennessee, Hsc, College Of Medicine and graduated in 1976 and has 48 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Vohra Wound Physicians Of Fl Llc and his current practice location is
411 N Section St, Fairhope, Alabama. You can reach out to his office (for appointments etc.) via phone at
(251) 928-9090.
Jeffrey Leigh Wallace is licensed to practice in Alabama (license number 29105) 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 1548262108.
Physician's Profile
Full Name | Jeffrey Leigh Wallace |
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Gender | Male |
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Speciality | General Surgery |
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Experience | 48 Years |
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Location | 411 N Section St, Fairhope, Alabama |
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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:
- Jeffrey Leigh Wallace attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 1976
NPI Data:
- NPI Number: 1548262108
- Provider Enumeration Date: 08/12/2005
- Last Update Date: 10/10/2016
Medicare PECOS Information:
- PECOS PAC ID: 7719934769
- Enrollment ID: I20100202000687
Medical Identifiers
Medical identifiers for Jeffrey Leigh Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548262108 | NPI | - | NPPES |
1407812001 | Medicaid | AL | |
1548262108 | Medicaid | AL | |
3-187746 | Medicaid | TN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2083P0011X | Preventive Medicine - Undersea And Hyperbaric Medicine | 29105 (Alabama) | Secondary |
208600000X | Surgery | 29105 (Alabama) | Primary |
208D00000X | General Practice | MD29105 (Alabama) | Secondary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Vohra Wound Physicians Of Fl Llc | 6406039882 | 55 |
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. Jeffrey Leigh Wallace allows following entities to bill medicare on his behalf.
Entity Name | Vohra Wound Physicians Of Fl Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1629374327 PECOS PAC ID: 6406039882 Enrollment ID: O20110323000484 |
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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. Jeffrey Leigh 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 |
Jeffrey Leigh Wallace, MD 104 Pinetop Circle, Fairhope, AL 36532 Ph: (251) 725-2050 | Jeffrey Leigh Wallace, MD 411 N Section St, Fairhope, AL 36532-2649 Ph: (251) 928-9090 |
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