Dr Robert Jennings Wallace, MD in St Petersburg, FL

Dr Robert Jennings Wallace, MD is a medicare enrolled "General Practice" physician in St Petersburg, Florida. He went to University Of Florida College Of Medicine and graduated in 1982 and has 42 years of diverse experience with area of expertise as Family Practice. 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	42 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: 12/28/2023

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
1108108	Other	FL	STAYWELL
0007618489	Other		AETNA
14NU6	Other	FL	FLORIDA BLUE
11382461	Other	FL	CAQH
189052	Other		CIGNA
000121140	Other		UNITED INSURANCE
05595987	Other		CLEAR
14NU6	Other		FLORIDA BLUE
111163300	Medicaid	FL
14NU6	Other	FL	BLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207QA0505X	Family Medicine - Adult Medicine	ME 42522 (Florida)	Secondary
207Q00000X	Family Medicine	ME42522 (Florida)	Secondary
208D00000X	General Practice	ME42522 (Florida)	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 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

General Practice Doctors in St Petersburg, FL

Alan B Campbell, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 863 3rd Ave N, St Petersburg, FL 33701 Phone: 727-821-1200 Fax: 727-321-6412
Richard T Eliason, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 863 3rd Ave N, St Petersburg, FL 33701 Phone: 727-821-1200
Dr. Edward Les Cole Iii, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 2100 Dr Martin Luther King Jr St N, St Petersburg, FL 33704 Phone: 727-202-6807 Fax: 727-498-6642
Dr. Judith Ellen Kline, DO General Practice Medicare: Not Enrolled in Medicare Practice Location: 750 94 Ave N, #201, St Petersburg, FL 33702 Phone: 727-577-0981 Fax: 727-576-4166
Mr. Nhu Van Bui, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 3731 Central Ave, St Petersburg, FL 33713 Phone: 727-686-1514
Dr. Hector Felix Mesidor, M,D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 1839 Central Ave, St Petersburg, FL 33713 Phone: 727-896-1300
Rogelio F Del Valle Valladares, MD General Practice Medicare: Medicare Enrolled Practice Location: 1839 Central Ave, St Petersburg, FL 33713 Phone: 722-322-1054 Fax: 727-821-7213

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