Dr Lydia Valladares Wallace, DO | |
131 S Citrus Ave, Inverness, FL 34452-4701 | |
(352) 344-6930 | |
(352) 344-4955 |
Full Name | Dr Lydia Valladares Wallace |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 18 Years |
Location | 131 S Citrus Ave, Inverness, Florida |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215139381 | NPI | - | NPPES |
001933100 | Medicaid | FL | |
006676100 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OS 10688 (Florida) | Primary |
208M00000X | Hospitalist | OS 10688 (Florida) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cora Health Services, Inc. | 1759290992 | 556 |
Entity Name | West Florida Medical Associates P A |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265515001 PECOS PAC ID: 9032023221 Enrollment ID: O20040401000131 |
Entity Name | Westside Hospitalist Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013022128 PECOS PAC ID: 0446214282 Enrollment ID: O20041112000217 |
Entity Name | Md Now Medical Centers Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033195474 PECOS PAC ID: 3971554825 Enrollment ID: O20050208000625 |
Entity Name | Pasadena Center For Asthma & Lung Disorders Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396981635 PECOS PAC ID: 6002972940 Enrollment ID: O20090302000493 |
Entity Name | Nature Coast Geriatric Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417340654 PECOS PAC ID: 0244541282 Enrollment ID: O20150617003035 |
Mailing Address | Practice Location Address |
---|---|
Dr Lydia Valladares Wallace, DO 131 S Citrus Ave, Inverness, FL 34452-4701 Ph: (352) 344-6930 | Dr Lydia Valladares Wallace, DO 131 S Citrus Ave, Inverness, FL 34452-4701 Ph: (352) 344-6930 |
Pablo E Figueroa, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2222 Highway 44 W, Inverness, FL 34453 Phone: 352-860-0633 | |
Philip Richard Wirt Iii, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 9494 Wateroak Ct, Inverness, FL 34453 Phone: 352-860-2137 Fax: 352-860-2137 | |
Tara Connor, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2401 Forest Dr, Inverness, FL 34453 Phone: 352-344-3777 Fax: 352-344-2546 | |
Dr. Youssef Khalil Khodor, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1907 Highway 44 W, Inverness, FL 34453 Phone: 352-344-2273 Fax: 352-344-2204 | |
Marilyn Staton, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1907 Highway 44 W, Inverness, FL 34453 Phone: 352-344-2273 Fax: 352-344-2204 | |
Dr. David J Sassano, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 N Central Ave, Inverness, FL 34453 Phone: 352-419-6526 Fax: 352-419-8966 |