Dr Kenneth A Wallace Iii, MD - Medicare Dermatology in Ocala, FL

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Dr Kenneth A Wallace Iii, MD is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Ocala, Florida. He went to Wayne State University School Of Medicine and graduated in 1989 and has 36 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Michael J Freeman Md Pa, Citrus Multi Care Llc and his current practice location is 1091 Se 59th St, Ocala, Florida. You can reach out to his office (for appointments etc.) via phone at (850) 597-0324.

Dr Kenneth A Wallace Iii is licensed to practice in Florida (license number ME73625) 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 1295791754.

Contact Information

Dr Kenneth A Wallace Iii, MD
1091 Se 59th St,
Ocala, FL 34480-6146
(850) 597-0324
Not Available

Map and Direction




Physician's Profile

Full NameDr Kenneth A Wallace Iii
GenderMale
SpecialityDermatology
Experience36 Years
Location1091 Se 59th St, Ocala, 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 Kenneth A Wallace Iii attended and graduated from Wayne State University School Of Medicine in 1989
  NPI Data:
  • NPI Number: 1295791754
  • Provider Enumeration Date: 04/25/2006
  • Last Update Date: 04/02/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2365486420
  • Enrollment ID: I20090912000065

Medical Identifiers

Medical identifiers for Dr Kenneth A Wallace Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295791754NPI-NPPES
000651600MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology ME73625 (Florida)Secondary
207NS0135XDermatology - Procedural Dermatology ME73625 (Florida)Secondary
207ND0101XDermatology - Mohs-micrographic Surgery ME73625 (Florida)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Michael J Freeman Md Pa42847141894
Citrus Multi Care Llc87293112043

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 Kenneth A Wallace Iii allows following entities to bill medicare on his behalf.
Entity NameSms Do Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346244100
PECOS PAC ID: 0143207530
Enrollment ID: O20040714000085
Entity NameMichael J Freeman Md Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801083589
PECOS PAC ID: 4284714189
Enrollment ID: O20080305000572
Entity NameNosky Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609215912
PECOS PAC ID: 6204078561
Enrollment ID: O20130815000619
Entity NameSkin Dermatology And Cosmetic Services Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205270824
PECOS PAC ID: 3274769153
Enrollment ID: O20131125000399
Entity NameCitrus Multi Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073099461
PECOS PAC ID: 8729311204
Enrollment ID: O20190617000453

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 Kenneth A Wallace Iii 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 Kenneth A Wallace Iii, MD
1091 Se 59th St,
Ocala, FL 34480-6146

Ph: (850) 597-0324		Dr Kenneth A Wallace Iii, MD
1091 Se 59th St,
Ocala, FL 34480-6146

Ph: (850) 597-0324

Reviews and Comments


Dermatology Doctors in Ocala, FL

Dr. Frederick R Behringer Jr., M.D.
Dermatology
Medicare: Medicare Enrolled
Practice Location: 2611 Se 17th St, Suite B, Ocala, FL 34471
Phone: 352-629-8881    Fax: 352-629-1220
Richard J Hilder Jr., M.D.
Dermatology
Medicare: Medicare Enrolled
Practice Location: 3233 Sw 33rd Rd, Ste 101, Ocala, FL 34474
Phone: 352-237-2322    Fax: 352-237-2456
Judy Cheng, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 3233 Sw 33rd Road, Suite 101, Ocala, FL 34474
Phone: 352-237-2322    Fax: 352-237-2456
Philip G Barton, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 3233 Sw 33rd Rd, Ste 101, Ocala, FL 34474
Phone: 352-237-2322    Fax: 352-237-2456
Dr. Jessin Helmrick-blossom, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 3320 Sw 34th Cir, Ocala, FL 34474
Phone: 352-629-8154    Fax: 352-629-5231
Dr. Ben M Treen, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 2121 Sw 22nd Pl, Ocala, FL 34471
Phone: 352-237-4133    Fax: 352-237-7728

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.