Dr Richard B Wallace, DO in Leesburg, FL

Dr Richard B Wallace, DO is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Leesburg, Florida. He went to At Still University Of Health Sciences, College Of Osteo Med, Kirksville and graduated in 1987 and has 37 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Lifestream Behavioral Center Inc and his current practice location is 215 N 3rd St, Leesburg, Florida. You can reach out to his office (for appointments etc.) via phone at (352) 315-7900.

Dr Richard B Wallace is licensed to practice in Florida (license number 05-22572) 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 1457442477.

Contact Information

	Dr Richard B Wallace, DO
	215 N 3rd St, Leesburg, FL 34748-5105
	(352) 315-7900
	(352) 315-7587

Map and Direction

Physician's Profile

Full Name	Dr Richard B Wallace
Gender	Male
Speciality	Psychiatry
Experience	37 Years
Location	215 N 3rd St, Leesburg, Florida
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 Richard B Wallace attended and graduated from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 1987

NPI Data:

NPI Number: 1457442477
Provider Enumeration Date: 09/27/2006
Last Update Date: 04/30/2019

Medicare PECOS Information:

PECOS PAC ID: 7810932126
Enrollment ID: I20150410002115

Medical Identifiers

Medical identifiers for Dr Richard B Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457442477	NPI	-	NPPES
100098100A	Medicaid	KS
052290	Other	KS	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	05-22572 (Florida)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lifestream Behavioral Center Inc	7012992720	13

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 Richard B Wallace allows following entities to bill medicare on his behalf.

Entity Name	Lifestream Behavioral Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902802002 PECOS PAC ID: 7012992720 Enrollment ID: O20040618000512

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 Richard B 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 Richard B Wallace, DO 215 N 3rd St, Leesburg, FL 34748-5105 Ph: (352) 315-7900	Dr Richard B Wallace, DO 215 N 3rd St, Leesburg, FL 34748-5105 Ph: (352) 315-7900

Reviews and Comments

Psychiatry & Neurology Doctors in Leesburg, FL

Kranthi Boyapati, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2020 Talley Rd, Leesburg, FL 34748 Phone: 352-315-7800 Fax: 352-360-6582
Dr. Kenneth A. Henschel, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 10123 Us Highway 441, Leesburg, FL 34788 Phone: 352-426-5012
Dr. Nidsa I Martir Cruz, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4700 Via Del Medico, Leesburg, FL 34748 Phone: 352-323-0888 Fax: 352-323-9103
Dr. Edgar Alfred Walker Jr., M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 215 N 3rd St, Leesburg, FL 34748 Phone: 352-315-7500 Fax: 352-360-6582
Dr. Revathi Iyengar, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 600 E Dixie Ave, Leesburg, FL 34748 Phone: 352-323-5467 Fax: 352-315-3633
Thomas Valente, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2020 Talley Rd, Leesburg, FL 34748 Phone: 352-315-7810 Fax: 352-360-6610

Dr Richard B Wallace, DO - Medicare Psychiatry in Leesburg, FL