Dr Robert Steven Wallis, MD is a
Internal Medicine - Infectious Disease physician based in Old Lyme, Connecticut. Dr Robert Steven Wallis is licensed to practice in Connecticut (license number 49370) and his current practice location is 55 Saunders Hollow Rd, Old Lyme, Connecticut. He can be reached at his office (for appointments etc.) via phone at
(860) 598-9160.
NPI number for Dr Robert Steven Wallis is 1154555738 and his current mailing address is 55 Saunders Hollow Rd, Old Lyme, Connecticut. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1154555738.
Physician's Profile
| Full Name | Dr Robert Steven Wallis |
|---|
| Gender | Male |
|---|
| Speciality | Internal Medicine - Infectious Disease |
|---|
| Location | 55 Saunders Hollow Rd, Old Lyme, Connecticut |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1154555738
- Provider Enumeration Date: 05/11/2009
- Last Update Date: 08/10/2021
Medical Identifiers
Medical identifiers for Dr Robert Steven Wallis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1154555738 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207RI0200X | Internal Medicine - Infectious Disease | MD037184 (District Of Columbia) | Secondary |
| 207RI0200X | Internal Medicine - Infectious Disease | 25MA07059900 (New Jersey) | Secondary |
| 207RI0200X | Internal Medicine - Infectious Disease | 49370 (Connecticut) | 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 Robert Steven Wallis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr Robert Steven Wallis, MD 55 Saunders Hollow Rd, Old Lyme, CT 06371-1127 Ph: (860) 598-9160 | Dr Robert Steven Wallis, MD 55 Saunders Hollow Rd, Old Lyme, CT 06371-1127 Ph: (860) 598-9160 |
Reviews and Comments