Dr Edward Alton Wallace, MD in Conway, SC

Dr Edward Alton Wallace, MD is a medicare enrolled "Anesthesiology" physician in Conway, South Carolina. He went to Medical University Of South Carolina College Of Medicine and graduated in 1984 and has 40 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Mcleod Physician Associates Ii and his current practice location is 300 Singleton Ridge Rd, Conway, South Carolina. You can reach out to his office (for appointments etc.) via phone at (843) 669-5162.

Dr Edward Alton Wallace is licensed to practice in South Carolina (license number 13597) 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 1255486452.

Contact Information

	Dr Edward Alton Wallace, MD
	300 Singleton Ridge Rd, Conway, SC 29526-9142
	(843) 669-5162
	(843) 669-5162

Map and Direction

Physician's Profile

Full Name	Dr Edward Alton Wallace
Gender	Male
Speciality	Anesthesiology
Experience	40 Years
Location	300 Singleton Ridge Rd, Conway, South Carolina
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 Edward Alton Wallace attended and graduated from Medical University Of South Carolina College Of Medicine in 1984

NPI Data:

NPI Number: 1255486452
Provider Enumeration Date: 01/25/2007
Last Update Date: 12/21/2016

Medicare PECOS Information:

PECOS PAC ID: 8325030836
Enrollment ID: I20040402000118

Medical Identifiers

Medical identifiers for Dr Edward Alton Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255486452	NPI	-	NPPES
5900433	Medicaid	NC
135972	Medicaid	SC
570835798	Other	SC	STANDARD TAX ID
E0051	Other	SC	MEDCOST

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	13597 (South Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mcleod Regional Medical Center-pee Dee	Florence, SC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mcleod Physician Associates Ii	8224031307	520

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 Edward Alton Wallace allows following entities to bill medicare on his behalf.

Entity Name	Florence Surgery & Laser Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912959560 PECOS PAC ID: 0042102428 Enrollment ID: O20040416000093

Entity Name	Mcleod Physician Associates Ii
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801990494 PECOS PAC ID: 8224031307 Enrollment ID: O20060926000568

Entity Name	Coastal Healthcare Resources Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467635128 PECOS PAC ID: 1658283593 Enrollment ID: O20080225000004

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 Edward Alton 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 Edward Alton Wallace, MD 3100 Spring Forest Rd, Suite 130, Raleigh, NC 27616-2880 Ph: (919) 882-0705	Dr Edward Alton Wallace, MD 300 Singleton Ridge Rd, Conway, SC 29526-9142 Ph: (843) 669-5162

Reviews and Comments

Anesthesiology Doctors in Conway, SC

Dr. Ihor V Melnytskyy, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 300 Singleton Ridge Road, Conway Medical Center, Conway, SC 29526 Phone: 843-347-7111
Dr. Casmir Michal Kielar, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 822 Farrar Dr, Conway, SC 29526 Phone: 843-347-9587 Fax: 843-347-9633
Susan J Haskin, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 300 Singleton Ridge Rd, Conway, SC 29526 Phone: 843-669-5162 Fax: 843-667-4573
Mr. Richard Blake Kline, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2767 Cultra Rd, Conway, SC 29526 Phone: 843-438-8470 Fax: 843-438-8480
Frank F Humbles, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 300 Singleton Ridge Rd, Conway, SC 29526 Phone: 843-669-5162 Fax: 843-667-4573

Dr Edward Alton Wallace, MD - Medicare Anesthesiology in Conway, SC