Dr Lars Erik Wallin Iii, MD - Medicare Urology in Germantown, TN

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Dr Lars Erik Wallin Iii, MD is a medicare enrolled "Urology" physician in Germantown, Tennessee. His current practice location is 1325 Wolf Park Dr Ste 102, Germantown, Tennessee. You can reach out to his office (for appointments etc.) via phone at (901) 252-3400.

Dr Lars Erik Wallin Iii is licensed to practice in Tennessee (license number 73340) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1821434457.

Contact Information

Dr Lars Erik Wallin Iii, MD
1325 Wolf Park Dr Ste 102,
Germantown, TN 38138-1759
(901) 252-3400
(901) 763-4305

Map and Direction




Physician's Profile

Full NameDr Lars Erik Wallin Iii
GenderMale
SpecialityUrology
Location1325 Wolf Park Dr Ste 102, Germantown, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1821434457
  • Provider Enumeration Date: 05/22/2013
  • Last Update Date: 12/02/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 8123268901
  • Enrollment ID: I20180830000766

Medical Identifiers

Medical identifiers for Dr Lars Erik Wallin Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821434457NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology 73340 (Tennessee)Primary

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 Lars Erik Wallin Iii allows following entities to bill medicare on his behalf.
Entity NameCullman Regional Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114919339
PECOS PAC ID: 3274445242
Enrollment ID: O20040130000280

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 Lars Erik Wallin 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 Lars Erik Wallin Iii, MD
1325 Wolf Park Dr Ste 103,
Germantown, TN 38138-1759

Ph: (901) 252-3500		Dr Lars Erik Wallin Iii, MD
1325 Wolf Park Dr Ste 102,
Germantown, TN 38138-1759

Ph: (901) 252-3400

Reviews and Comments


Urology Doctors in Germantown, TN

Harold Michael Mcswain, M.D.
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 1325 Wolf Park Dr, Suite 102, Germantown, TN 38138
Phone: 901-252-3400    Fax: 901-682-0047
Homer David Hickey Jr., M.D.
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 1325 Wolf Park Dr, Suite 102, Germantown, TN 38138
Phone: 901-252-3400    Fax: 901-682-0047
Paul Richard Eber, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 1325 Wolf Park Dr, Suite 102, Germantown, TN 38138
Phone: 901-252-3400    Fax: 901-682-0047
Matthew Earl Sims, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 1325 Wolf Park Dr Ste 102, Germantown, TN 38138
Phone: 901-252-3400    Fax: 901-763-4305
Holt Benjamin Maddux Jr., M.D.
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 1325 Wolf Park Dr, Suite 102, Germantown, TN 38138
Phone: 901-252-3400    Fax: 901-682-0047
Dr. Patrick J Zielie, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 1325 Wolf Park Dr Ste 102, Germantown, TN 38138
Phone: 901-252-3400    Fax: 901-763-4305
Howard Bernhard Hasen Jr., MD
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 1325 Wolf Park Dr, Suite 102, Germantown, TN 38138
Phone: 901-252-3400    Fax: 901-384-8840

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.