Dr Robert Jennings Wallace, MD in St Petersburg, FL

Dr Robert Jennings Wallace, MD is a medicare enrolled "Family Medicine" physician in St Petersburg, Florida. He went to University Of Florida College Of Medicine and graduated in 1982 and has 43 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Love The Golden Rule Inc and his current practice location is 3600 Central Ave, St Petersburg, Florida. You can reach out to his office (for appointments etc.) via phone at (727) 826-0700.

Dr Robert Jennings Wallace is licensed to practice in Florida (license number ME42522) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1821396151.

Contact Information

	Dr Robert Jennings Wallace, MD
	3600 Central Ave, St Petersburg, FL 33711-1345
	(727) 826-0700
	(727) 954-6994

Map and Direction

Physician's Profile

Full Name	Dr Robert Jennings Wallace
Gender	Male
Speciality	Family Practice
Experience	43 Years
Location	3600 Central Ave, St Petersburg, Florida
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Robert Jennings Wallace attended and graduated from University Of Florida College Of Medicine in 1982

NPI Data:

NPI Number: 1821396151
Provider Enumeration Date: 03/10/2011
Last Update Date: 07/24/2025

Medicare PECOS Information:

PECOS PAC ID: 6608027651
Enrollment ID: I20121121000454

Medical Identifiers

Medical identifiers for Dr Robert Jennings Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821396151	NPI	-	NPPES
0007618489	Other		AETNA
14NU6	Other	FL	BLUE CROSS BLUE SHIELD
05595987	Other		CLEAR
189052	Other		CIGNA
000121140	Other		UNITED INSURANCE
14NU6	Other		FLORIDA BLUE
111163300	Medicaid	FL
1108108	Other	FL	STAYWELL
14NU6	Other	FL	FLORIDA BLUE
11382461	Other	FL	CAQH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	ME42522 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Anthonys Hospital	Saint petersburg, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Love The Golden Rule Inc	3971820481	2

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 Robert Jennings Wallace allows following entities to bill medicare on his behalf.

Entity Name	Love The Golden Rule Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831580612 PECOS PAC ID: 3971820481 Enrollment ID: O20150323000090

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 Robert Jennings 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 Robert Jennings Wallace, MD 3600 Central Ave, St Petersburg, FL 33711-1345 Ph: (727) 826-0700	Dr Robert Jennings Wallace, MD 3600 Central Ave, St Petersburg, FL 33711-1345 Ph: (727) 826-0700

Reviews and Comments

Family Medicine Doctors in St Petersburg, FL

Dr. Carolina Vac Nelson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7751 9th St N Ste 10, St Petersburg, FL 33702 Phone: 727-521-2424 Fax: 727-521-2425
Dr. Mary Anne Mcginn, MD Family Medicine Medicare: Medicare Enrolled Practice Location: Bay Pines Va Healthcare System, 10000 Bay Pines Blvd, St Petersburg, FL 33744 Phone: 727-398-6661
Howard Diamond, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1033 7th Ave N, St Petersburg, FL 33705 Phone: 727-384-1000 Fax: 727-823-4670
Adam A Brunson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12225 28th St N Ste B, St Petersburg, FL 33716 Phone: 727-561-4303 Fax: 727-561-9299
Kevin B Witt, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6350 Central Ave, St Petersburg, FL 33707 Phone: 727-381-1144 Fax: 727-381-6901
Dr. Pedro Jose Morales, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5500 Dr Mlk Jr St N, St Petersburg, FL 33703 Phone: 727-525-5500 Fax: 727-522-2574
Heather Larock Christie, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2191 9th Ave N Ste 240, St Petersburg, FL 33713 Phone: 727-220-9080

Dr Robert Jennings Wallace, MD - Medicare Family Practice in St Petersburg, FL