Dr William J Wallace, DO in Kingsport, TN

Dr William J Wallace, DO is a medicare enrolled "Otolaryngology - Facial Plastic Surgery" physician in Kingsport, Tennessee. He went to At Still University Of Health Sciences, College Of Osteo Med, Kirksville and graduated in 1992 and has 33 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Holston Medical Group Pc, Holston Medical Group Pc, Mountain Region Speech And Hearing Center, Mountain Region Speech And Hearing Center and his current practice location is 5 Sheridan Sq, Kingsport, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 246-8155.

Dr William J Wallace is licensed to practice in Tennessee (license number 01428) 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 1275539603.

Contact Information

	Dr William J Wallace, DO
	5 Sheridan Sq, Kingsport, TN 37660
	(423) 246-8155
	(246) 246-8658

Map and Direction

Physician's Profile

Full Name	Dr William J Wallace
Gender	Male
Speciality	Otolaryngology
Experience	33 Years
Location	5 Sheridan Sq, Kingsport, Tennessee
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 William J Wallace attended and graduated from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 1992

NPI Data:

NPI Number: 1275539603
Provider Enumeration Date: 06/21/2005
Last Update Date: 06/04/2018

Medicare PECOS Information:

PECOS PAC ID: 8527033943
Enrollment ID: I20060222000665

Medical Identifiers

Medical identifiers for Dr William J Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275539603	NPI	-	NPPES
3306857	Medicaid	TN
64071962	Medicaid	KY
006500391	Medicaid	VA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207YS0123X	Otolaryngology - Facial Plastic Surgery	01428 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Wellmont Holston Valley Medical Center	Kingsport, TN	Hospital
Lonesome Pine Hospital	Big stone gap, VA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Holston Medical Group Pc	8224935754	236
Holston Medical Group Pc	8224935754	236
Mountain Region Speech And Hearing Center	8628003589	6
Mountain Region Speech And Hearing Center	8628003589	6

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 William J Wallace allows following entities to bill medicare on his behalf.

Entity Name	Holston Medical Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831110667 PECOS PAC ID: 8224935754 Enrollment ID: O20040107000794

Entity Name	Meadowview Ear Nose And Throat Spec Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417953845 PECOS PAC ID: 4082689401 Enrollment ID: O20050118000466

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 William J 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 William J Wallace, DO 5 Sheridan Sq, Kingsport, TN 37660-7390 Ph: (423) 246-8155	Dr William J Wallace, DO 5 Sheridan Sq, Kingsport, TN 37660 Ph: (423) 246-8155

Reviews and Comments

Otolaryngology Doctors in Kingsport, TN

Dr. Randall Falconer, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1728 N Eastman Rd, Kingsport, TN 37664 Phone: 423-230-6532 Fax: 423-230-4859
Dr. Jeffrey Hunt, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 105 W Stone Dr, Ste 4d, Kingsport, TN 37660 Phone: 423-392-6299 Fax: 423-392-6920
Dr. Carl W. Slocum, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 5 Sheridan Sq, Kingsport, TN 37660 Phone: 423-246-8155 Fax: 423-246-8658
Dr. Jennifer Lynn Greiner, D.O. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 5 Sheridan Sq, Kingsport, TN 37660 Phone: 423-146-8155 Fax: 423-246-8658
Dr. Crystal Dawn Seluk, D.O. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 105 W Stone Dr Ste 4d, Kingsport, TN 37660 Phone: 423-392-6299
Dr. David R Osterhus, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 5 Sheridan Sq, Kingsport, TN 37660 Phone: 423-246-8155 Fax: 423-246-8658

Dr William J Wallace, DO - Medicare Otolaryngology in Kingsport, TN