| Dr John K Wallace, MD | |
|
2664 Hartford Hwy, Dothan, AL 36305-4904 | |
| (334) 699-2244 | |
| (334) 699-2245 |
| Full Name | Dr John K Wallace |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 46 Years |
| Location | 2664 Hartford Hwy, Dothan, Alabama |
| 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 |
|---|---|---|---|
| 1992735302 | NPI | - | NPPES |
| 000046695 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 00013178 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southeast Alabama Medical Center | Dothan, AL | Hospital |
| Entity Name | Eye Surgical Associates P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669648879 PECOS PAC ID: 5597814525 Enrollment ID: O20090529000203 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John K Wallace, MD 2664 Hartford Hwy, Dothan, AL 36305-4904 Ph: (334) 699-2244 | Dr John K Wallace, MD 2664 Hartford Hwy, Dothan, AL 36305-4904 Ph: (334) 699-2244 |
Dr. Aric J Aldridge, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1450 Ross Clark Cir Ste 100, Dothan, AL 36301 Phone: 334-479-0043 Fax: 334-479-0048 | |
Mr. Jean Guy Fortin, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2800 Ross Clark Circle, Dothan, AL 36301 Phone: 334-793-2211 Fax: 334-793-7161 | |
Dr. Ronald P. Swendris, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2800 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-2211 Fax: 334-793-7161 | |
Dr. Harsha A. Sen, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2800 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-2211 Fax: 334-793-7161 | |
William Timothy Gannon, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2664 Hartford Hwy, Dothan, AL 36305 Phone: 334-699-2244 Fax: 334-699-2245 | |
Dr. Jorge L Arango, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 160 Healthwest Dr, Dothan, AL 36303 Phone: 334-793-2211 Fax: 334-793-7161 | |
Marius Jan Heersink, Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2800 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-2211 Fax: 334-793-7161 |