Dr Mark S Wallis, MD in Longview, TX

Dr Mark S Wallis, MD is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Longview, Texas. His current practice location is 3535 N Fourth St Ste 400, Longview, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 757-3881.

Dr Mark S Wallis is licensed to practice in Texas (license number H6685) 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 1861489049.

Contact Information

	Dr Mark S Wallis, MD
	3535 N Fourth St Ste 400, Longview, TX 75605-0038
	(903) 757-3881
	(903) 757-5948

Map and Direction

Physician's Profile

Full Name	Dr Mark S Wallis
Gender	Male
Speciality
Experience	Years
Location	3535 N Fourth St Ste 400, Longview, Texas
Accepts Medicare Assignments	Yes. 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 Mark S Wallis attended and graduated from in

NPI Data:

NPI Number: 1861489049
Provider Enumeration Date: 10/03/2005
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Dr Mark S Wallis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861489049	NPI	-	NPPES
30076724	Other	TX	DPS NUMBER
45D0684764	Other	TX	CLIA NUMBER
CID037095	Other	TX	CIDC NUMBER
H6685	Other	TX	MEDICAL LICENSE NUMBER
04813881913	Other	TX	MED. ED. NUMBER
0898678-03	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	H6685 (Texas)	Secondary
207ND0900X	Dermatology - Dermatopathology	H6685 (Texas)	Secondary
207NI0002X	Dermatology - Clinical & Laboratory Dermatological Immunology	H6685 (Texas)	Secondary
207NP0225X	Dermatology - Pediatric Dermatology	H6685 (Texas)	Secondary
207NS0135X	Dermatology - Procedural Dermatology	H6685 (Texas)	Secondary
207ND0101X	Dermatology - Mohs-micrographic Surgery	H6685 (Texas)	Primary

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 Mark S Wallis 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 Mark S Wallis, MD 3535 N Fourth St Ste 400, Longview, TX 75605-0038 Ph: (903) 757-3881	Dr Mark S Wallis, MD 3535 N Fourth St Ste 400, Longview, TX 75605-0038 Ph: (903) 757-3881

Reviews and Comments

Dermatology Doctors in Longview, TX

Luke Stewart Wallis, MD Dermatology Medicare: Medicare Enrolled Practice Location: 3535 N Fourth St Ste 400, Longview, TX 75605 Phone: 903-757-3881 Fax: 903-757-5948
Mrs. Taylor Griffin Dickerson, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3535 N Fourth St Ste 400, Longview, TX 75605 Phone: 903-757-3881 Fax: 903-757-5948
Blake A Robbins, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 707 Hollybrook Dr, Longview, TX 75605 Phone: 903-232-8230 Fax: 903-232-8236
Matthew Thomas Hoffmann, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1402 N 4th St, Longview, TX 75601 Phone: 903-757-8878 Fax: 903-757-5985
Dr. Robert Stanley Taylor Iii, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3535 N Fourth St Ste 400, Longview, TX 75605 Phone: 903-757-3881 Fax: 903-757-5948
Laura Paul Fite, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3535 N Fourth St Ste 400, Longview, TX 75605 Phone: 903-757-3881 Fax: 903-757-5948

Dr Mark S Wallis, MD - Medicare in Longview, TX