Dr Lacie Victoria Wallace, MD in Mt Pleasant, SC

Dr Lacie Victoria Wallace, MD is a medicare enrolled "Family Medicine" physician in Mt Pleasant, South Carolina. She went to Brody School Of Medicine At East Carolina University and graduated in 2021 and has 4 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Roper Saint Francis Physicians Network and her current practice location is 1400 Hospital Dr, Mt Pleasant, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 884-1341.

Dr Lacie Victoria Wallace is licensed to practice in South Carolina (license number 86050) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1366018012.

Contact Information

	Dr Lacie Victoria Wallace, MD
	1400 Hospital Dr, Mt Pleasant, SC 29464-3255
	(843) 884-1341
	(843) 884-1345

Map and Direction

Physician's Profile

Full Name	Dr Lacie Victoria Wallace
Gender	Female
Speciality	Family Practice
Experience	4 Years
Location	1400 Hospital Dr, Mt Pleasant, South Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Lacie Victoria Wallace attended and graduated from Brody School Of Medicine At East Carolina University in 2021

NPI Data:

NPI Number: 1366018012
Provider Enumeration Date: 06/02/2021
Last Update Date: 09/11/2024

Medicare PECOS Information:

PECOS PAC ID: 7719383553
Enrollment ID: I20241004000221

Medical Identifiers

Medical identifiers for Dr Lacie Victoria Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366018012	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	LL86050 (South Carolina)	Secondary
207Q00000X	Family Medicine	86050 (South Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mount Pleasant Hospital	Mount pleasant, SC	Hospital
Roper Hospital	Charleston, SC	Hospital
Bon Secours-st Francis Xavier Hospital	Charleston, SC	Hospital
Roper St Francis Hospital-berkely Inc	Moncks corner, SC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Roper Saint Francis Physicians Network	5193874824	478

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 Lacie Victoria Wallace allows following entities to bill medicare on her behalf.

Entity Name	Roper Saint Francis Physicians Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124431606 PECOS PAC ID: 5193874824 Enrollment ID: O20090528000405

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 Lacie Victoria 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
Dr Lacie Victoria Wallace, MD Po Box 751649, Charlotte, NC 28275-1649 Ph: (888) 472-0043	Dr Lacie Victoria Wallace, MD 1400 Hospital Dr, Mt Pleasant, SC 29464-3255 Ph: (843) 884-1341

Reviews and Comments

Family Medicine Doctors in Mt Pleasant, SC

Susan Cao, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3074 N Highway 17, Mt Pleasant, SC 29466 Phone: 843-884-6424
Ann Gregory Kelly, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 Two Island Ct Unit E, Mt Pleasant, SC 29466 Phone: 544-447-6768 Fax: 854-999-0549
Dr. David Tyler Heinemann, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3510 N Highway 17 Ste 320, Mt Pleasant, SC 29466 Phone: 843-971-3361 Fax: 843-606-8003
Dr. Priscilla Wilcox Holtzclaw, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3400 Salterbeck Ct, Ste 100, Mt Pleasant, SC 29466 Phone: 843-971-3361 Fax: 843-971-8492
Mr. Philip D Rhine, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1790 Tennyson Row, Mt Pleasant, SC 29466 Phone: 803-429-3523
Dr. Emily Signe Mika Nemeth, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1101 Bowman Rd, Mt Pleasant, SC 29464 Phone: 843-606-7185
Romita L Wallen, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2736 Rush Haven Dr, Mt Pleasant, SC 29466 Phone: 843-881-7477 Fax: 843-881-7477

Dr Lacie Victoria Wallace, MD - Medicare Family Practice in Mt Pleasant, SC