Haily Wallace, MD in Tucumcari, NM

Haily Wallace, MD is a medicare enrolled "Family Medicine" physician in Tucumcari, New Mexico. Her current practice location is 402 E Miel De Luna Ave, Pmg At Dr Dan C Trigg Memorial Hospital, Tucumcari, New Mexico. You can reach out to her office (for appointments etc.) via phone at (575) 461-7100.

Haily Wallace is licensed to practice in New Mexico (license number MD2014-0895) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1679839534.

Contact Information

	Haily Wallace, MD
	402 E Miel De Luna Ave, Pmg At Dr Dan C Trigg Memorial Hospital, Tucumcari, NM 88401-3828
	(575) 461-7100
	(575) 461-7101

Map and Direction

Physician's Profile

Full Name	Haily Wallace
Gender	Female
Speciality
Experience	Years
Location	402 E Miel De Luna Ave, Tucumcari, New Mexico
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Haily Wallace attended and graduated from in

NPI Data:

NPI Number: 1679839534
Provider Enumeration Date: 04/05/2012
Last Update Date: 06/18/2015

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Haily Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679839534	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	MD2014-0895 (New Mexico)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

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. Haily 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
Haily Wallace, MD Po Box 26666, Phs Provider Enrollment, Albuquerque, NM 87125-6666 Ph: (505) 923-6770	Haily Wallace, MD 402 E Miel De Luna Ave, Pmg At Dr Dan C Trigg Memorial Hospital, Tucumcari, NM 88401-3828 Ph: (575) 461-7100

Reviews and Comments

Family Medicine Doctors in Tucumcari, NM

Mudassir Mubeen Saleemi, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1302 E Main St, Tucumcari, NM 88401 Phone: 505-461-2200 Fax: 505-461-2213
Dr. Darrell E Willis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 402 E Miel De Luna Ave, Tucumcari, NM 88401 Phone: 575-461-7100 Fax: 575-461-7101

Haily Wallace, MD - Medicare in Tucumcari, NM