Dr Ryan Myles Wallace, in Anchorage, AK

Dr Ryan Myles Wallace, is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Anchorage, Alaska. He went to University Of Washington School Of Medicine and graduated in 2014 and has 11 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Providence Health And Services- Washington, Providence Health And Services Washington and his current practice location is 3760 Piper St Ste 1108, Anchorage, Alaska. You can reach out to his office (for appointments etc.) via phone at (907) 212-6900.

Dr Ryan Myles Wallace is licensed to practice in Alaska (license number 158491) 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 1548695075.

Contact Information

	Dr Ryan Myles Wallace,
	3760 Piper St Ste 1108, Anchorage, AK 99508-4683
	(907) 212-6900
	(907) 212-6936

Map and Direction

Physician's Profile

Full Name	Dr Ryan Myles Wallace
Gender	Male
Speciality	Psychiatry
Experience	11 Years
Location	3760 Piper St Ste 1108, Anchorage, Alaska
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 Ryan Myles Wallace attended and graduated from University Of Washington School Of Medicine in 2014

NPI Data:

NPI Number: 1548695075
Provider Enumeration Date: 09/03/2013
Last Update Date: 12/03/2025

Medicare PECOS Information:

PECOS PAC ID: 2769703552
Enrollment ID: I20200917000602

Medical Identifiers

Medical identifiers for Dr Ryan Myles Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548695075	NPI	-	NPPES
1709157	Medicaid	AK
008056168	Medicaid	CT
500000315	Medicaid	CT
008076123	Medicaid	CT
004082286	Medicaid	CT
008022626	Medicaid	CT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2083A0300X	Preventive Medicine - Addiction Medicine	158491 (Alaska)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	158491 (Alaska)	Primary
2084P0800X	Psychiatry & Neurology - Psychiatry	55490 (Connecticut)	Secondary
2084N0400X	Psychiatry & Neurology - Neurology	55490 (Connecticut)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Providence Alaska Medical Center	Anchorage, AK	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Health And Services- Washington	1557408176	177
Providence Health And Services Washington	2163335746	29

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 Ryan Myles Wallace allows following entities to bill medicare on his behalf.

Entity Name	Providence Health & Services Washington
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467547265 PECOS PAC ID: 2163335746 Enrollment ID: O20031110000525

Entity Name	Providence Health & Services-washington
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093956278 PECOS PAC ID: 1557408176 Enrollment ID: O20091029000679

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 Ryan Myles 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 Ryan Myles Wallace, Po Box 31001-4162, Pasadena, CA 91110-4162 Ph: (866) 747-2455	Dr Ryan Myles Wallace, 3760 Piper St Ste 1108, Anchorage, AK 99508-4683 Ph: (907) 212-6900

Reviews and Comments

Psychiatry & Neurology Doctors in Anchorage, AK

Daniel Gregory Allen, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 673 Medical Group, Jb Elmendorf-richardson, Anchorage, AK 99506 Phone: 907-580-2181
Dr. David Michael Henzler, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1100 E Dimond Blvd, Anchorage, AK 99515 Phone: 907-565-6000 Fax: 907-565-6001
Maria Zarif, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4320 Diplomacy Dr Ste 1500, Anchorage, AK 99508 Phone: 907-729-2500
Dr. Karen Jackman, M.D Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1675 C St, Suite 117, Anchorage, AK 99501 Phone: 907-274-8281 Fax: 907-274-4055
Dr. William Allen Worrall, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2800 Providence Dr, Anchorage, AK 99508 Phone: 907-269-7176 Fax: 907-269-7251
Dr. Lisa Katharyn Lindquist, M.D. Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 3760 Piper St Ste 1108, Anchorage, AK 99508 Phone: 907-212-6900 Fax: 907-212-6936
Carl Andrew Astbury, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1201 N Muldoon Rd, Anchorage, AK 99504 Phone: 800-827-1000

Dr Ryan Myles Wallace, - Medicare Psychiatry in Anchorage, AK