| James P Wallace, MD | |
|
705 N 8th Ave, Suite 1a, Dillon, SC 29536-2549 | |
| (843) 774-2478 | |
| (843) 774-1826 |
| Full Name | James P Wallace |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 44 Years |
| Location | 705 N 8th Ave, Dillon, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487741146 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 11072 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kindred At Home | Florence, SC | Home health agency |
| Mcleod Home Health Inc | Florence, SC | Home health agency |
| Kindred At Home | Lumberton, NC | Home health agency |
| Amedisys Home Health Of Conway | Conway, SC | Home health agency |
| Mcleod Medical Center - Dillon | Dillon, SC | Hospital |
| Mcleod Regional Medical Center-pee Dee | Florence, SC | Hospital |
| Mcleod Loris Hospital | Loris, SC | Hospital |
| Pruitthealth- Dillon | Dillon, SC | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dillon Internal Medicine Associates Pa | 5991617995 | 8 |
| Entity Name | Dillon Internal Medicine Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124115886 PECOS PAC ID: 5991617995 Enrollment ID: O20040607000923 |
| Mailing Address | Practice Location Address |
|---|---|
| James P Wallace, MD Po Box 512, Dillon, SC 29536-0512 Ph: (843) 774-2478 | James P Wallace, MD 705 N 8th Ave, Suite 1a, Dillon, SC 29536-2549 Ph: (843) 774-2478 |
Dr. James Nicholas Wallace, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 705 N 8th Ave, Suite 1a, Dillon, SC 29536 Phone: 843-774-2478 Fax: 843-774-1826 | |
Dr. Alto Bernat Odin Jr., D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 705 N 8th Ave, Suite 1a, Dillon, SC 29536 Phone: 843-774-2478 Fax: 843-774-1826 | |
James J Kelly, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 705 N 8th Ave, Dillon, SC 29536 Phone: 843-774-2478 Fax: 843-774-1826 |